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Massachusetts 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
$86.98 / $211.13 / $525.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $538.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.33 / $274.33 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $86.98 / $217.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.32 / $264.31 / $486.84
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $140.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.16 / $141.16 / $717.30
Mass General Brigham
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 / $127.91