go back

North Dakota rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.90 / $244.90 / $244.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $254.08 / $306.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.68 / $268.80 / $272.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $321.00 / $401.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.90 / $318.37 / $436.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $1,107.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $280.61