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Maryland 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
$2,379.05 / $2,379.05 / $4,984.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,651.66 / $3,739.65 / $3,739.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.21 / $357.21 / $357.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,785.09 / $3,552.67 / $4,179.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,399.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.18 / $424.18 / $424.18