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Mississippi 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
$4,325.67 / $4,325.67 / $6,330.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,325.67 / $6,330.25 / $7,121.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,380.95 / $3,380.95 / $3,380.95
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,064.20 / $5,275.21 / $6,857.77