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Connecticut rates for HCPCS A9504

Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $664.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $380.00 / $440.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.81 / $432.81 / $432.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.81 / $432.81 / $432.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.00 / $500.00 / $510.00