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Florida rates for HCPCS A9507

Indium In 111 Capromab Pendetide Diagnostic Per Study Dose Up To 10 Millicuries Special Coverage Instructions Apply. See Mcm: 1502

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,220.17 / $4,378.42 / $5,035.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.17 / $4,378.42 / $4,483.93
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.94 / $1,755.46 / $1,755.46
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.33 / $2,122.90 / $4,074.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $5,433.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.78 / $1,714.78 / $1,714.78