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New York rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.55 / $580.72 / $683.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $38,249.62 / $38,249.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $79.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $62.00 / $160.19
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $160.19 / $160.19