go back

North Carolina rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.04 / $1,988.04 / $2,147.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.04 / $1,988.04 / $2,147.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.33 / $205.33 / $273.77
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 / $2,525.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.41 / $436.98 / $2,107.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.41 / $306.41 / $306.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $3,262.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.67 / $2,399.67 / $5,051.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,598.71 / $9,598.71 / $11,366.91