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Wisconsin rates for HCPCS A9507

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

Facilitymedian $4,266 · 10th–90th $1,318$6,9180%10%20%10th90th$4,266Professionalmedian $4,266 · 10th–90th $1,413$5,2480%20%10th90th$4,266$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,365.16 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,715.35 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,995.26 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,025.60 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,884.03 / $4,466.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,265.80 / $5,248.07
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $10,000.00 / $10,715.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $4,265.80 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,235.94 / $4,466.84
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,466.84 / $7,413.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $4,466.84 / $10,232.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,606.93 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $6,918.31