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Illinois rates for HCPCS A9548

Indium In-111 Pentetate Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.08 / $850.08 / $3,375.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $850.08 / $961.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.94 / $4,255.68 / $12,790.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.19 / $1,105.60 / $1,902.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.82 / $1,249.82 / $1,312.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $956.34