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North Carolina rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.62 / $27.04 / $27.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $116.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.24 / $50.00 / $52.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00