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Arizona rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.18 / $674.18 / $674.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.04 / $2,046.04 / $2,096.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.98 / $3,782.42 / $5,991.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.92 / $1,761.23 / $8,530.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.83 / $2,525.98 / $9,472.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $4,567.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,104.98