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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
$2,147.08 / $2,147.08 / $2,913.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,147.08 / $2,399.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.07 / $2,221.92 / $7,247.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,221.92 / $5,560.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.42 / $4,849.50 / $8,932.53
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.09 / $2,666.30 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,549.65 / $3,110.69 / $4,502.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $3,463.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.67 / $2,399.67 / $5,051.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $9,598.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $3,157.47