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North Carolina rates for HCPCS A9521

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.55 / $1,559.34 / $1,559.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.34 / $1,559.34 / $1,748.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.85 / $1,077.85 / $1,437.14
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 / $2,056.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $1,559.34 / $2,262.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.59 / $977.59 / $977.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.23 / $635.69 / $755.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $2,262.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.92 / $2,444.73 / $4,113.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,815.69 / $7,815.69 / $9,255.42