| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.43 | $77.91 | $77.91 | |
Aetna
| Professional | $76.43 | $77.91 | $119.42 | |
Anthem BCBS
| Professional | $50.25 | $50.25 | $83.07 | |
Medcost
| Facility | $76.43 | $108.29 | $142.58 |
Technetium Tc-99m teboroxime, diagnostic, per study dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.43 | $77.91 | $77.91 | |
Aetna
| Professional | $76.43 | $77.91 | $119.42 | |
Anthem BCBS
| Professional | $50.25 | $50.25 | $83.07 | |
Medcost
| Facility | $76.43 | $108.29 | $142.58 |