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Illinois rates for HCPCS A9557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,152.08 / $3,519.67 / $4,619.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $3,739.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.80 / $3,036.26 / $6,309.18
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $653.46
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,019.54