go back

Minnesota 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 / $2,096.56 / $2,525.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2,350.53 / $4,744.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.86 / $806.08 / $806.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.09 / $1,104.84 / $2,657.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.90 / $2,601.63 / $3,271.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.46 / $1,010.10 / $2,092.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.00 / $2,575.88 / $3,219.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.01 / $2,525.98 / $4,268.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $4,152.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $3,815.91