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Indiana rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $78.38 / $78.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $31.35 / $31.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.29 / $65.31 / $97.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $28.69 / $43.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.19 / $58.54 / $67.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $56.29 / $67.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $91.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $40.84