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Texas 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
$695.90 / $713.30 / $2,378.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $713.30 / $739.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.06 / $1,386.43 / $3,017.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.27 / $664.27 / $664.27
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
$1,055.75 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.30 / $790.80 / $1,552.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.10 / $695.10 / $695.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.30 / $1,009.47 / $1,059.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.00 / $869.88 / $1,438.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $85.80 / $143.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $193.05 / $659.00