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Alabama rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $275.42 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $102.33