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North Dakota rates for HCPCS A9536

Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,162.00 / $1,400.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.50 / $1,194.17 / $1,211.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $1,163.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,214.45 / $1,904.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $4,908.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,568.00