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Maine rates for HCPCS A9507

Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries

Facilitymedian $2,089 · 10th–90th $1,660–$5,4950%50%10th90th$2,089Professionalmedian $4,467 · 10th–90th $4,266–$4,4670%50%10th$4,467$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,466.84 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,995.26 / $5,495.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,041.74 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $5,370.32
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,466.84 / $7,413.10