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Arizona rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $87.10 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84