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New York 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
$600.22 / $632.64 / $739.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.22 / $695.90 / $739.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.00 / $724.90 / $724.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.36 / $649.27 / $739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.44 / $170.75 / $170.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $170.75 / $170.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $649.27 / $739.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $114.40 / $527.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.44 / $131.44 / $131.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $131.44 / $170.75