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Maryland rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $229.09 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $724.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $97.72 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23