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New Jersey 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
$3,739.65 / $3,739.65 / $5,980.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,651.66 / $3,739.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.60 / $379.53 / $3,739.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.53 / $379.53 / $379.53
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.21 / $1,379.91 / $2,901.02
Horizon BCBS
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 / $3,890.75