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Idaho rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $645.65 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $933.25 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $870.96 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $870.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,071.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,230.27