go back

Mississippi rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.75 / $303.75 / $303.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.95 / $79.34 / $79.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00