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Hawaii rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.56 / $2,096.56 / $2,096.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $3,239.57
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $445.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.65 / $2,879.62 / $2,999.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $3,157.47 / $3,239.57