go back

Iowa 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
$6,159.42 / $7,600.02 / $7,600.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $3,519.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.90 / $3,379.89 / $5,348.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.25 / $683.80 / $5,348.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $3,666.33 / $5,348.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.29 / $1,100.92 / $3,379.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.29 / $660.96 / $3,379.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,032.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.20 / $683.80 / $683.80