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Idaho rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.67 / $2,399.67 / $2,399.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,172.34 / $2,399.67
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.45 / $2,147.08 / $2,748.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,835.75 / $4,679.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.67 / $2,879.62 / $2,999.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,946.97