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Kansas 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
$91.17 / $285.68 / $607.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $81.86 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.40 / $61.40 / $189.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $204.37 / $340.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $157.90 / $157.90
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $102.33 / $130.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $717.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $102.33