go back

North Dakota rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $102.33 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $138.04 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $97.72