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New Jersey rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $281.84 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $162.18
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $407.38 / $1,621.81
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,549.93 / $15,488.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $89.13