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North Dakota 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
$1,645.41 / $1,645.41 / $1,645.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.41 / $1,707.11 / $2,056.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.72 / $1,805.97 / $1,831.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $2,327.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.41 / $2,139.03 / $2,930.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $7,815.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $1,885.37