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Arkansas rates for HCPCS A9507

Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,483.93 / $4,483.93 / $4,483.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,378.42 / $4,483.93 / $4,483.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.24 / $835.24 / $835.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.24 / $835.24 / $835.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,483.93 / $4,483.93 / $4,483.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,483.93 / $4,483.93 / $4,483.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,757.18 / $5,275.21 / $5,380.71