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Utah 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
$722.00 / $722.00 / $722.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $722.00 / $722.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.26 / $925.70 / $974.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $143.00