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North Dakota rates for HCPCS A9537

Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.33 / $173.49 / $196.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $55.10 / $66.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $59.54 / $60.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $69.38 / $86.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.10 / $90.27 / $192.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $252.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $63.28