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Washington 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
$741.31 / $741.31 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $724.44 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,548.82 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,380.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $691.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $912.01 / $1,071.52