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North Dakota rates for HCPCS A9504

Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $415.00 / $500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.81 / $475.13 / $603.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $520.00 / $763.70
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 / $550.00