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Massachusetts rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.21 / $903.21 / $1,225.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $903.21 / $1,009.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.70 / $1,660.90 / $2,949.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $890.19 / $2,227.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.27 / $1,120.59 / $2,064.10
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.60 / $1,312.31 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.36 / $1,413.26 / $2,045.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $1,456.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.47 / $1,009.47 / $3,576.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $4,037.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,328.25