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Massachusetts 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
$3,739.65 / $3,739.65 / $5,074.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,739.65 / $4,179.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.06 / $1,497.05 / $2,498.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.87 / $3,666.33 / $6,514.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.19 / $1,009.12 / $1,858.76
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.91 / $888.94 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.52 / $632.62 / $915.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $6,032.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,179.60 / $4,179.60 / $8,799.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $16,718.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $5,499.50