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Iowa 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
$700.00 / $863.72 / $863.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $593.91 / $593.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.41 / $716.00 / $1,208.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $1,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.79 / $763.70 / $1,208.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.41 / $763.70 / $1,208.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $550.00