go back

Alaska rates for HCPCS A9557

Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,939.45 / $5,939.45 / $5,939.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,493.41 / $8,493.41 / $8,493.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.37 / $386.37 / $551.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,159.43 / $6,159.43 / $9,679.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,980.03 / $8,493.41 / $14,095.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.37 / $551.95 / $3,739.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $5,499.50 / $7,395.72