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Missouri rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.24 / $312.00 / $551.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $304.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.06 / $433.67 / $671.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.66 / $218.66 / $291.54
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 / $319.31 / $1,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.84 / $255.10 / $318.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $300.00