search again

Nationwide rates for HCPCS A4642

Indium In-111 Satumomad Pendetide Diagnostic Perstudy Dose Up To 6 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $1,423.75 / $1,675.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.00 / $1,390.25 / $1,423.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,100.00 / $2,123.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.25 / $268.25 / $1,318.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.10 / $1,380.10 / $1,380.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.10 / $1,380.10 / $1,380.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.00 / $1,675.00 / $1,842.50