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Wyoming rates for HCPCS A9502

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.77 / $476.77 / $1,330.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $81.86 / $81.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $102.33 / $102.33
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 / $85.27