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Illinois rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $851.14 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $870.96 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,754.23 / $10,471.29
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $1,778.28
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
$1,258.93 / $1,318.26 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $39.81
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 / $954.99