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Kansas rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.12 / $306.12 / $306.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $306.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $204.37 / $362.36
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.90 / $277.66 / $365.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $1,107.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $306.12