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Alaska rates for HCPCS A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.23 / $1,378.23 / $1,378.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.61 / $391.17 / $521.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.20 / $745.20 / $745.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.74 / $371.74 / $531.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.13 / $781.13 / $781.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.20 / $745.20 / $745.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.74 / $531.04 / $718.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $781.13 / $1,050.46