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Washington 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 / $77.62 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65