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Georgia 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
$4,378.42 / $4,378.42 / $4,378.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.17 / $4,378.42 / $4,641.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.69 / $1,244.17 / $1,730.95
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.62 / $2,921.24 / $8,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $5,705.67