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Rhode Island 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
$64.36 / $313.76 / $979.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $84.93 / $86.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.98 / $90.39 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.10 / $92.10 / $92.10
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $102.33