go back

Arizona rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.00 / $681.00 / $726.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $112.30 / $177.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $90.65 / $439.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.20 / $590.20 / $590.20