| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.58 | $43.90 | $43.90 | |
Aetna
| Professional | $20.32 | $20.32 | $20.32 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $31.31 | $34.36 | $34.39 |
Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.58 | $43.90 | $43.90 | |
Aetna
| Professional | $20.32 | $20.32 | $20.32 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $31.31 | $34.36 | $34.39 |