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Utah 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
$119.42 / $119.42 / $119.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.42 / $119.42 / $119.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00