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Connecticut rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $173.78 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $194.98 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $134.90 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $87.10
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $93.33