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Massachusetts 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
$739.40 / $739.40 / $2,031.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $739.40 / $806.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $897.35 / $1,581.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $143.00 / $3,005.04
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $1,345.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.35 / $897.35 / $1,581.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $114.40 / $3,005.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $114.40 / $739.40