go back

Arizona rates for HCPCS A9557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,247.00 / $5,247.00 / $5,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,563.67 / $3,563.67 / $3,563.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.79 / $6,971.77 / $11,044.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.73 / $3,246.30 / $15,724.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,563.67 / $4,399.59 / $16,017.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $7,955.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $3,666.33