| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.32 | $20.32 | $20.32 | |
Aetna
| Professional | $19.21 | $20.32 | $20.32 | |
Anthem BCBS
| Professional | $50.40 | $50.40 | $83.32 | |
Medcost
| Facility | $20.32 | $28.26 | $37.20 |
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 | $20.32 | $20.32 | $20.32 | |
Aetna
| Professional | $19.21 | $20.32 | $20.32 | |
Anthem BCBS
| Professional | $50.40 | $50.40 | $83.32 | |
Medcost
| Facility | $20.32 | $28.26 | $37.20 |