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Iowa 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
$102.33 / $176.76 / $1,300.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $121.84 / $744.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $128.25 / $160.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $652.27 / $1,411.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $167.47 / $364.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $236.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.67 / $175.21 / $374.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.05 / $175.21 / $280.50
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.47 / $7,386.21 / $10,795.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.31 / $309.63 / $328.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $93.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.98 / $97.46 / $97.46