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Nationwide rates for HCPCS A9542

Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.45 / $3,403.99 / $3,873.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.23 / $3,140.14 / $3,570.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1,197.03 / $2,528.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,500.00 / $3,570.00 / $4,068.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,384.12 / $3,384.12 / $3,384.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,384.12 / $3,384.12 / $3,384.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $4,620.00