go back

Missouri 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 / $2,525.98 / $2,652.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,515.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.64 / $2,704.24 / $5,540.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.49 / $1,894.49 / $2,525.98
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.64 / $2,399.67 / $9,472.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.89 / $2,104.98 / $2,624.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.88 / $2,104.98 / $2,475.46