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Vermont rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $346.74 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $263.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $194.98