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Maine 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
$331.36 / $331.36 / $662.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.36 / $355.61 / $391.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.65 / $369.33 / $99,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $599.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.72 / $662.72 / $662.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.36 / $355.61 / $646.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $520.75 / $781.13