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Georgia rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.56 / $2,096.56 / $2,096.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,096.56 / $2,222.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.64 / $1,834.40 / $2,835.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,273.38 / $2,399.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,210.23 / $4,310.08
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.25 / $1,260.92 / $2,361.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,525.98