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Mississippi 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
$3,068.22 / $3,068.22 / $3,165.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,068.22 / $3,100.51 / $3,622.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,780.00 / $3,780.00 / $3,780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.02 / $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
$4,032.00 / $4,200.00 / $5,460.00