go back

North Dakota 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 / $695.90 / $695.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $722.00 / $869.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.98 / $763.81 / $774.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.79 / $739.40 / $799.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.64 / $822.43 / $1,126.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $85.80 / $3,005.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $85.80 / $145.15