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Maine rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Facilitymedian $832 · 10th–90th $6–$8320%50%10th$832Professionalmedian $115 · 10th–90th $91–$85,1140%50%10th90th$115$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81,283.05 / $95,499.26 / $100,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $31,622.78