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Alaska rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.33 / $1,174.33 / $1,174.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.31 / $1,679.31 / $1,679.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.11 / $1,107.11 / $1,739.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.11 / $1,581.60 / $2,609.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $429.00