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North Dakota rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,020.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,096.56 / $2,525.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.70 / $2,217.96 / $2,249.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.78 / $2,575.88 / $3,219.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.78 / $2,627.01 / $3,599.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $8,840.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,399.67