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Rhode Island rates for HCPCS A9557

Technetium Tc-99m Bicisate Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $3,739.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,739.65 / $3,886.31 / $4,106.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,959.63 / $3,959.63 / $3,959.63
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,399.59