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Texas rates for HCPCS A9501

Technetium Tc-99m teboroxime, diagnostic, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $3,548.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $120.23 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12