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Maryland rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.59 / $337.86 / $869.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $260.20 / $333.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $244.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.19 / $290.81 / $412.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $305.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $38.95 / $38.95