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Arizona rates for HCPCS A9521

Technetium Tc-99m Exametazime Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.98 / $1,665.98 / $1,665.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.48 / $3,108.34 / $4,924.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.51 / $1,447.35 / $7,010.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $1,748.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $1,748.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.98 / $2,077.92 / $7,712.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $3,719.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $1,713.97