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North Carolina rates for HCPCS A9550

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $20.32 / $20.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $49.76 / $49.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $22.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00