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Indiana 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
$3,519.67 / $7,325.10 / $8,542.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $3,519.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.80 / $4,323.50 / $8,432.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.21 / $357.21 / $553.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,534.40 / $2,534.40 / $3,674.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.40 / $2,534.40 / $4,055.04
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 / $4,399.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,897.47