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Pennsylvania 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
$739.40 / $853.67 / $997.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $739.40 / $739.40
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.46 / $1,637.46 / $1,637.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $887.04 / $997.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $739.40 / $853.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.18 / $1,810.11 / $2,483.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.26 / $751.26 / $752.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.26 / $751.26 / $752.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $92.95 / $282.64