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South Carolina 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
$83.91 / $275.83 / $527.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.91 / $84.93 / $121.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $124.41 / $208.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $115.73 / $150.44
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $84.93 / $115.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $93.80