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Utah rates for HCPCS A9555

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

Facilitymedian $871 · 10th–90th $589–$1,0720%20%10th90th$871Professionalmedian $355 · 10th–90th $316–$6030%50%10th90th$355$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $870.96 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $354.81 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $1,995.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $524.81 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81