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Kentucky 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
$400.00 / $400.00 / $2,224.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $415.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $498.80 / $498.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.11 / $625.11 / $625.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.53 / $580.46 / $125,998.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.81 / $432.81 / $585.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.51 / $432.81 / $2,454.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00