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Ohio 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 / $11,280.00 / $12,528.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $5,100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.98 / $3,699.88 / $11,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,700.00 / $6,365.00 / $9,977.50
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $6,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $6,205.00