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Idaho 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
$751.26 / $751.26 / $751.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $748.10 / $751.26
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $748.10 / $1,069.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,464.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.26 / $901.51 / $939.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $228.80