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Tennessee 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
$656.36 / $1,148.63 / $3,467.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $722.00 / $722.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.90 / $790.14 / $848.13
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.35 / $1,581.60 / $2,965.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,005.04 / $3,005.04 / $3,558.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $85.80 / $406.94