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Hawaii rates for HCPCS A9557

Technetium Tc-99m Bicisate Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,651.66 / $3,651.66 / $3,651.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $5,642.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,597.57 / $5,015.53 / $5,224.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $5,499.50 / $5,642.47