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Missouri 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 / $6,300.00 / $6,300.00
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
$2,062.94 / $7,038.75 / $13,160.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.00 / $5,100.00 / $6,000.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $6,000.00 / $11,616.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $22,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $6,115.00