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Utah rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.56 / $2,096.56 / $2,096.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.56 / $2,096.56 / $2,096.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $410.74 / $2,301.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.67 / $2,956.89 / $3,112.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,104.98