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Virginia rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.58 / $29.09 / $31.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $110.00 / $250.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00