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Connecticut 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
$5,100.00 / $5,100.00 / $7,978.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,124.21 / $7,601.00 / $14,987.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,100.00 / $5,100.00
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,750.00 / $5,000.00 / $5,520.00