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Pennsylvania rates for HCPCS A9501

Technetium Tc-99m Sestamibi Diagnostic Per Study Dose Up To 40 Millucries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $77.91 / $98.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $77.91 / $119.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $98.95 / $111.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $77.91 / $119.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $120.36 / $165.31