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Maryland 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
$1,513.56 / $3,019.95 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $741.31 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $151.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65