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Virginia 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
$3,739.65 / $3,739.65 / $3,739.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,651.66 / $3,739.65 / $3,739.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.80 / $1,442.82 / $2,324.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.67 / $3,519.67 / $4,311.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.21 / $357.21 / $357.21
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,342.11 / $3,931.89 / $4,179.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.18 / $4,399.59 / $6,170.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.48 / $704.00 / $3,785.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,483.01 / $4,179.60 / $5,389.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,483.01 / $4,179.60 / $5,389.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,399.59