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Tennessee rates for HCPCS A9507

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

Facilitymedian $6,457 · 10th–90th $2,818–$8,7100%10%20%10th90th$6,457Professionalmedian $4,365 · 10th–90th $4,365–$5,2480%50%90th$4,365$2.0K$5.0K$10.0K$20.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,918.31 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $8,709.64
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $11,481.54 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,187.76 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,248.07 / $5,248.07