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Maine rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $870.96 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $912.01 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,071.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $891.25 / $1,288.25