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New Jersey rates for HCPCS A9567

Technetium Tc-99mpentette Diagnostic Aerosol P Er Study Dose Up To 75 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $260.57 / $380.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $21.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $17.32 / $19.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.74 / $27.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.89