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Alaska rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.56 / $3,410.07 / $3,410.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,876.39 / $4,876.39 / $4,876.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $303.91 / $434.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.37 / $3,536.37 / $5,557.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.37 / $4,876.39 / $8,335.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $434.15 / $2,147.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $3,157.47 / $4,246.17