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New York 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
$239.88 / $660.69 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $131.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $457.09 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $2,344.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $794.33 / $2,041.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $537.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $707.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $645.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $537.03 / $645.65