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Oklahoma 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
$82.89 / $606.45 / $2,189.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $82.89 / $84.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.89 / $102.33 / $262.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $105.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $91.38