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Mississippi 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
$410.00 / $410.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.00 / $600.00 / $675.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.17 / $37.17 / $37.17
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $500.00 / $650.00