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Minnesota 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
$83.66 / $102.33 / $1,850.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $102.33 / $561.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $98.06 / $430.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.48 / $73.09 / $73.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.05 / $408.50 / $982.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $150.47 / $162.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.81 / $373.46 / $773.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $128.25 / $160.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $172.94 / $238.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $153.49