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North Carolina rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Facilitymedian $776 · 10th–90th $676–$1,5490%20%10th90th$776Professionalmedian $708 · 10th–90th $537–$7760%20%40%10th90th$708$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $724.44 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,096.48 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,202.26 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $257.04
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45