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Kansas rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.98 / $2,525.98 / $2,525.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,525.98
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
$772.64 / $2,145.75 / $3,014.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $8,840.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,525.98