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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
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $724.44 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $537.03 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $724.44 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $281.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45