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Georgia 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
$415.00 / $415.00 / $415.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $415.00 / $439.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.82 / $456.85 / $482.23
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.96 / $566.12 / $1,132.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $540.00