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New Jersey 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 / $7,244.36 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,365.16 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $4,466.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $7,413.10 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,737.80 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,495.41