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Oregon rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.67 / $2,399.67 / $2,399.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.56 / $2,096.56 / $2,399.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.16 / $4,294.16 / $4,294.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.04 / $720.97 / $777.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.97 / $2,201.39 / $4,507.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.87 / $1,004.43 / $1,931.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.56 / $2,778.58 / $4,507.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.44 / $2,548.08 / $2,999.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.67 / $2,399.67 / $2,399.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,420.73