go back

Oklahoma 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
$3,563.67 / $3,563.67 / $3,563.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,563.67 / $3,651.66
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 / $3,739.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.51 / $3,563.67 / $5,096.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,494.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $3,666.33