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New Jersey 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
$76.73 / $265.42 / $817.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $84.93 / $86.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.40 / $61.40 / $150.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.37 / $449.28 / $4,065.64
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.41 / $124.53 / $154.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.97 / $86.98 / $112.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.41 / $99.41 / $99.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $99.41 / $99.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $97.41