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Alaska rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $52.91 / $52.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.66 / $75.66 / $75.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $31.26 / $44.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.87 / $54.87 / $86.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.87 / $75.66 / $129.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $33.31 / $44.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $48.99 / $65.88