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North Carolina rates for HCPCS A9510

Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.72 / $71.40 / $71.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.56 / $41.56 / $55.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $84.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $46.62 / $93.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $43.43 / $43.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $103.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $118.87 / $339.39
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.65 / $523.28 / $523.28