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Missouri 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
$102.33 / $297.97 / $614.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $84.93 / $481.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.94 / $144.96 / $224.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $81.86 / $102.33
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 / $122.13 / $717.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.17 / $85.27 / $106.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $100.28