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Colorado 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
$81.86 / $349.13 / $641.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $84.93 / $311.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.15 / $154.34 / $273.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $86.98 / $125.69
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $97.21 / $152.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.61 / $194.42 / $228.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $85.27