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Texas rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Facilitymedian $9,550 · 10th–90th $4,786–$19,4980%10%20%10th90th$9,550Professionalmedian $5,012 · 10th–90th $4,786–$5,7540%50%10th90th$5,012$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $18,197.01 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $12,022.64 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $12,022.64 / $34,673.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $26,915.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,025.60 / $10,964.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $44.67
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $194.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,025.60 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,511.89 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,128.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40