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Maine 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
$739.40 / $739.40 / $739.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.32 / $2,241.32 / $2,241.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.90 / $739.39 / $739.39
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $885.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $100.10 / $739.40