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Georgia 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
$416.87 / $416.87 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $512.86
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,000.00 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $549.54