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Massachusetts rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Facilitymedian $3,802 · 10th–90th $2,138–$7,2440%10%10th90th$3,802Professionalmedian $2,138 · 10th–90th $2,042–$3,3110%50%10th90th$2,138$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,137.96 / $2,570.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,454.71 / $7,413.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,238.72 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,897.79 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,570.88 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,884.03 / $5,888.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,019.95 / $4,265.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $3,467.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,454.71 / $7,413.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,238.72 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $831.76 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,137.96 / $2,570.40