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Mississippi 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
$3,607.66 / $3,607.66 / $5,279.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,607.66 / $5,279.51 / $5,939.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.86 / $401.86 / $401.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.56 / $3,739.65 / $3,739.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.68 / $3,666.33 / $4,766.22