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New Jersey rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.55 / $872.77 / $1,385.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.13 / $771.68 / $790.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.61 / $541.61 / $541.61
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.89 / $434.52 / $760.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.36 / $1,152.34 / $1,192.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $790.27 / $790.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.72 / $383.72 / $383.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $929.73