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South Carolina rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $302.00 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $104.71 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $102.33 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $91.20