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Oklahoma 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
$707.95 / $3,388.44 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $707.95 / $870.96
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 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $707.95 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $144.54