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Kansas 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
$5,275.21 / $5,275.21 / $5,275.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.17 / $4,220.17 / $5,275.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $204.37 / $340.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $157.90 / $157.90
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,672.09 / $4,390.66 / $6,752.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $10,220.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $5,488.33