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Hawaii 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
$4,980.00 / $4,980.00 / $5,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $7,695.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,270.00 / $6,840.00 / $7,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.00 / $6,540.75 / $7,695.00