go back

Tennessee 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 / $136.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $77.91 / $77.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00