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New York rates for HCPCS A9551

Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $575.44 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $1,023.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $660.69
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $2,818.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $151.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $912.01
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $630.96 / $660.69
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $630.96 / $630.96