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Kansas 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
$500.00 / $500.00 / $500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $204.37 / $340.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $157.90 / $157.90
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $500.00 / $640.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $3,061.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $520.20