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Iowa 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
$7,385.30 / $9,112.61 / $9,112.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.17 / $4,220.17 / $4,220.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.13 / $1,970.39 / $2,378.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $3,964.00 / $4,648.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.66 / $2,001.72 / $6,499.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.39 / $5,275.21 / $7,227.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.66 / $1,970.39 / $3,118.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.66 / $1,970.39 / $3,076.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $5,596.47