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Indiana rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.08 / $2,024.02 / $2,024.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $850.08 / $850.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.29 / $1,430.58 / $2,036.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.13 / $648.00 / $920.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.43 / $163.43 / $236.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.43 / $163.43 / $253.32
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 / $1,062.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,107.32