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Alabama rates for HCPCS A9502

Technetium Tc 99m Tetrofosmin Diagnostic Per Study Dose Up To 40 Millicuries (Special Coverage Instructions Apply. See Mcm: 15

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.98 / $585.79 / $890.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $86.98 / $93.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $121.52 / $162.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $85.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $102.33