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Oregon rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.22 / $290.81 / $824.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $254.08 / $290.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.40 / $520.40 / $520.40
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
$571.10 / $682.56 / $742.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.08 / $336.73 / $546.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.81 / $290.81 / $456.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.08 / $346.20 / $553.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $329.73 / $498.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.81 / $290.81 / $290.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $306.12