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Iowa rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.90 / $164.90 / $213.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $79.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $156.56 / $227.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $129.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $142.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $124.95 / $138.91