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Arizona rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $870.96 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,023.29 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25