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Colorado rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.90 / $244.90 / $326.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $290.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $461.73 / $818.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $236.01 / $260.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.90 / $271.83 / $424.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.82 / $436.23 / $511.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $290.82