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Virginia rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $260.20 / $680.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $260.20 / $260.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $300.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $244.90 / $244.90
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.19 / $360.64 / $424.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $306.12 / $429.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $380.00 / $492.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.35 / $290.81 / $375.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.35 / $290.81 / $375.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $306.12