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Kentucky rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $11,235.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,096.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.60 / $2,482.29 / $2,483.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $967.30 / $1,138.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.27 / $267.73 / $414.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.85 / $285.20 / $399.29
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
$352.58 / $2,147.08 / $3,207.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,104.98