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Connecticut 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 / $162.65 / $385.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $267.20 / $780.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.56 / $142.83 / $294.73
Anthem 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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.41 / $99.41 / $99.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.01 / $85.27 / $94.14