go back

Mississippi rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $123.03 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $114.82 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $131.83