go back

Massachusetts 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
$4,466.84 / $4,466.84 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,466.84 / $5,248.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,897.79 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $5,248.07 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $12,022.64 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,454.71 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,311.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $7,413.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,897.79 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $5,248.07 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,248.07 / $7,413.10