go back

South Carolina 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
$3,607.66 / $3,607.66 / $14,585.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.95 / $3,607.66 / $3,607.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,871.64 / $4,399.59 / $5,246.51
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.13 / $644.96 / $4,473.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $3,666.33