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Arizona 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
$4,786.30 / $5,011.87 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,585.78 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,128.61 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,025.60 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87