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Oregon 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
$4,179.60 / $4,179.60 / $4,179.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,651.66 / $3,651.66 / $3,651.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,479.30 / $7,479.30 / $7,479.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,960.41 / $6,035.41 / $6,718.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.66 / $4,839.55 / $7,851.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.94 / $888.94 / $1,709.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.60 / $3,226.05 / $3,226.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.66 / $5,221.87 / $8,359.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $4,653.53 / $5,224.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.60 / $4,179.60 / $4,179.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,216.28