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Iowa 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
$4,265.80 / $4,265.80 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,365.16 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,398.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $3,981.07 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $5,248.07 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,949.84 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $6,309.57