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Minnesota 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 / $415.00 / $500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.15 / $1,513.35 / $3,640.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $557.48 / $603.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.27 / $1,383.56 / $2,866.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $475.13 / $593.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $760.50 / $965.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $986.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $986.37