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Arizona 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
$183.26 / $296.45 / $790.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $121.84 / $744.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.21 / $97.21 / $227.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.98 / $167.83 / $264.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $77.77 / $155.05
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.89 / $116.65 / $717.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $211.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.21 / $97.21 / $136.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $85.27