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Kansas 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
$4,399.59 / $4,399.59 / $4,399.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $4,399.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $204.37 / $362.36
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.80 / $3,918.76 / $5,531.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $16,231.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $5,316.18