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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
$245.47 / $245.47 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $204.17 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $275.42 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $316.23