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Indiana rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.19 / $2,020.78 / $5,051.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,020.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.64 / $2,482.29 / $4,841.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $720.00 / $1,144.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.58 / $272.58 / $395.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.58 / $272.58 / $422.51
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 / $2,525.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,610.17