go back

Mississippi 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
$83.91 / $96.92 / $380.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.91 / $86.98 / $167.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.09 / $136.09 / $136.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.87 / $183.87 / $183.87
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 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.71 / $87.71 / $97.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $85.27 / $110.85