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Hawaii 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
$602.56 / $724.44 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,023.29
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $21.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $1,023.29