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Massachusetts rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,089.30 / $2,511.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $7,585.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,238.72 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,897.79 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,884.03 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $4,466.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $3,548.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $7,585.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,238.72 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $831.76 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,137.96 / $2,951.21