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Minnesota rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $102.33 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $302.00 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $426.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $144.54 / $162.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $407.38 / $812.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $177.83 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $154.88