| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.20 | $390.00 | $574.20 | |
Aetna
| Professional | $20.32 | $220.00 | $220.00 | |
Anthem BCBS
| Professional | $0.02 | $50.40 | $104.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
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 | $35.20 | $390.00 | $574.20 | |
Aetna
| Professional | $20.32 | $220.00 | $220.00 | |
Anthem BCBS
| Professional | $0.02 | $50.40 | $104.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |