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North Dakota 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
$67.20 / $67.20 / $67.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $69.72 / $84.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.48 / $73.76 / $74.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $71.40 / $75.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $87.36 / $119.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $429.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $86.67