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New Jersey rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $3,433.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,096.56 / $2,147.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.04 / $2,147.08 / $2,572.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.31 / $2,830.95 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.50 / $2,147.08 / $2,147.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,404.73