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West Virginia rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.94 / $260.20 / $286.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.01 / $264.01 / $396.02
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 / $370.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.17 / $174.17 / $174.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $369.46