go back

North Dakota 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
$81.86 / $174.97 / $440.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $84.93 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $89.84 / $91.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $128.25 / $162.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $106.42 / $334.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $717.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $93.80