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Ohio 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 / $2,971.95 / $5,617.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,020.78 / $2,971.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.45 / $1,385.73 / $4,925.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.30 / $1,365.60 / $2,568.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.33 / $269.33 / $369.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $269.33 / $269.33
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,525.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,740.68