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North Dakota rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.67 / $311.20 / $1,077.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.67 / $266.30 / $320.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.63 / $281.72 / $285.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.38 / $206.72 / $272.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.22 / $272.70 / $457.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $1,219.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $299.45