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North Dakota rates for HCPCS A9539

Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $31.21 / $37.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.36 / $35.85 / $36.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $43.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $39.10 / $53.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $251.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $37.60 / $42.11