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North Carolina 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
$672.18 / $672.18 / $672.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.18 / $672.18 / $739.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.85 / $510.85 / $681.13
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 / $869.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.18 / $684.00 / $1,163.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.00 / $684.00 / $684.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.19 / $1,368.16 / $1,626.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $280.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.35 / $1,055.75 / $1,581.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,005.04 / $3,005.04 / $3,558.60