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North Carolina 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
$10.65 / $3,330.95 / $4,476.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.95 / $3,330.95 / $3,739.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.89 / $1,564.89 / $2,086.52
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 / $4,399.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.13 / $555.54 / $3,664.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.18 / $424.18 / $424.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,766.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,179.60 / $4,179.60 / $8,799.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,718.43 / $16,718.43 / $19,221.53