| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,423.75 | $1,423.75 | $1,423.75 | |
Cigna
| Professional | $1,380.10 | $1,380.10 | $1,380.10 | |
United
| Professional | $1,340.00 | $1,675.00 | $2,512.50 |
Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,423.75 | $1,423.75 | $1,423.75 | |
Cigna
| Professional | $1,380.10 | $1,380.10 | $1,380.10 | |
United
| Professional | $1,340.00 | $1,675.00 | $2,512.50 |