go back

Virginia 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
$4,483.93 / $4,483.93 / $4,896.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,378.42 / $4,483.93 / $4,483.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.07 / $1,091.07 / $1,730.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.17 / $4,220.17 / $4,220.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.95 / $1,597.12 / $1,878.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,483.93 / $5,275.21 / $7,398.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.25 / $1,831.00 / $2,765.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $5,538.97