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North Carolina 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
$4,920.00 / $5,100.00 / $5,100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
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 / $6,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,700.00 / $6,600.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,700.00 / $5,700.00 / $5,700.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $168.60 / $178.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $6,600.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,700.00 / $28,500.00 / $28,500.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,800.00 / $22,800.00 / $27,000.00