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Delaware rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.63 / $233.10 / $668.71
Aetna
Facility/Professional
Professional
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.72 / $147.72 / $242.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $260.20 / $382.65