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Tennessee 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
$84.93 / $212.97 / $600.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $84.93 / $224.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.73 / $115.73 / $180.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.80 / $102.24 / $109.75
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.16 / $717.30 / $717.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.30 / $717.30 / $717.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $85.27 / $86.98