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Virginia 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
$4,980.00 / $5,100.00 / $5,100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.94 / $4,352.80 / $7,014.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $6,226.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $4,800.00
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 / $5,100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,845.00 / $5,700.00 / $6,840.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $6,000.00 / $8,415.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $5,700.00 / $7,500.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,700.00 / $7,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,919.25 / $5,000.00 / $6,000.00