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Maryland rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Facilitymedian $324 · 10th–90th $93–$8710%10%10th90th$324Professionalmedian $257 · 10th–90th $245–$3090%50%10th90th$257$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $331.13 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $309.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $263.03 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90