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Idaho 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 / $5,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,980.00 / $5,100.00 / $5,160.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $6,000.00 / $7,378.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $4,360.50 / $11,115.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,270.00 / $6,270.00 / $7,695.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,840.00 / $6,840.00 / $7,125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $7,000.00