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North Dakota rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $350.81 / $350.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $14.58 / $20.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $30.57 / $193.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $136.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $22.42