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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
$5,248.07 / $5,248.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,630.78 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,495.41 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,365.16 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,801.89 / $3,801.89