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Colorado rates for HCPCS A9515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $4,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $4,980.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,317.92 / $8,700.00 / $16,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,100.00 / $14,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $5,760.00 / $8,064.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,210.00 / $11,210.00 / $11,210.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,000.00