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Ohio rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $17.57 / $79.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $230.00 / $250.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.26 / $100.26 / $100.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $74.25 / $74.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $7.17 / $7.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.12 / $89.50 / $143.68