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Utah 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
$355.61 / $871.39 / $1,184.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.61 / $355.61 / $906.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $1,977.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $641.66 / $675.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $520.75