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Mississippi rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $151.36 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $263.03 / $407.38