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Connecticut rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.21 / $260.20 / $744.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.10 / $425.10 / $764.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $255.10
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.60 / $255.10 / $281.63