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Oklahoma rates for HCPCS A9526

Nitrogen N-13 Ammonia Diagnostic Per Study Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.60 / $3,415.10 / $3,467.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $704.60 / $722.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.54 / $672.58 / $2,965.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $85.80 / $790.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $85.80 / $143.00