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Tennessee 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
$3,630.78 / $3,630.78 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,630.78 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,265.80 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $724.44 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,801.89 / $3,801.89