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
$691.83 / $691.83 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $741.31 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $831.76