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Washington, DC rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $239.88 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $138.04