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Alaska rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,100.00 / $8,100.00 / $8,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,000.00 / $8,100.00 / $11,583.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,400.00 / $8,400.00 / $13,200.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,200.00 / $7,200.00 / $7,200.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,000.00 / $11,340.00 / $12,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $6,840.00 / $7,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,500.00 / $7,500.00 / $10,086.00