| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $361.76 | $446.37 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
BCBS
| Facility | $383.45 | $500.30 | $975.56 | |
Medica
| Facility | $206.72 | $206.72 | $392.77 |
Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $361.76 | $446.37 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
BCBS
| Facility | $383.45 | $500.30 | $975.56 | |
Medica
| Facility | $206.72 | $206.72 | $392.77 |