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Washington, DC 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
$96.16 / $210.49 / $286.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $93.56 / $93.56
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.63 / $82.63 / $148.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $138.19