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Florida rates for HCPCS A9504

Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $416.87 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $380.19 / $380.19
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $616.60 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58