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Iowa 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
$790.80 / $790.80 / $814.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $695.90 / $790.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.79 / $739.40 / $799.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,250.86 / $1,277.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.71 / $827.18 / $1,585.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $107.25 / $1,113.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.13 / $1,103.33 / $1,746.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.71 / $1,103.33 / $1,746.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.32 / $1,847.21 / $1,959.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $147.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.56 / $117.16 / $117.16