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Alaska rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $501.19 / $1,445.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $2,041.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $181.97 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $2,454.71