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Delaware rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.82 / $404.81 / $458.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $86.98 / $130.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.21 / $97.21 / $97.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $86.98 / $127.91