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North Dakota 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
$3,519.67 / $3,519.67 / $3,519.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,651.66 / $4,399.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,272.20 / $3,863.12 / $3,918.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.13 / $3,739.65 / $3,739.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,519.67 / $4,575.57 / $6,269.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $16,231.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,032.96