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Florida 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
$400.00 / $415.00 / $618.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $415.00 / $425.00
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.75 / $380.38 / $380.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.17 / $460.00 / $542.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.63 / $425.63 / $425.63