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Missouri 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
$695.90 / $790.80 / $2,354.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $695.90 / $722.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.14 / $1,232.33 / $1,907.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.10 / $593.10 / $790.80
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.64 / $909.42 / $2,965.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $85.80 / $505.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $85.80 / $444.49