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Oregon 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
$80.75 / $169.86 / $412.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $104.46 / $561.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.96 / $173.96 / $173.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $86.98 / $86.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.34 / $276.08 / $415.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $112.56 / $239.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.21 / $193.36 / $322.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $121.51 / $194.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $121.51 / $170.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.21 / $97.21 / $97.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $98.06