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Idaho 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
$524.81 / $1,819.70 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $891.25 / $2,344.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $524.81 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $724.44