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Georgia rates for HCPCS A9526

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.00 / $722.00 / $722.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $722.00 / $722.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.90 / $786.52 / $786.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.72 / $724.90 / $751.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $761.15 / $1,484.28
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.18 / $1,598.00 / $2,251.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.16 / $1,384.82 / $1,511.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $526.07