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Hawaii rates for HCPCS A9504

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.00 / $415.00 / $415.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.81 / $432.81 / $432.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.00 / $490.00 / $513.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $500.00 / $750.00