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New Jersey 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 / $8,155.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,980.00 / $5,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $6,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,470.39 / $7,558.61 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $5,100.00 / $5,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,862.00 / $5,000.00 / $5,300.00