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Minnesota 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 / $3,651.66 / $4,399.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1,292.11 / $3,849.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.30 / $1,067.86 / $1,067.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.29 / $793.40 / $923.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,531.73 / $3,739.65 / $3,739.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.14 / $721.27 / $1,049.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.80 / $4,399.59 / $6,691.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $7,232.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $6,646.32