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North Dakota 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 / $4,800.00 / $4,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $6,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,462.50 / $5,276.25 / $5,343.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,500.13 / $6,875.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $6,000.00 / $8,550.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,500.00