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Arizona rates for HCPCS A9526

Nitrogen N-13 Ammonia Diagnostic Per Study Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.63 / $995.63 / $1,991.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.60 / $704.60 / $704.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.87 / $1,290.74 / $2,044.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.76 / $601.01 / $2,911.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.54 / $862.88 / $2,965.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $143.00 / $735.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $279.50