go back

North Dakota 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 / $5,248.07 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,466.84 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,466.84 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,888.44