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Minnesota rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.59 / $1,062.59 / $1,062.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $881.96 / $1,062.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $951.14 / $1,964.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.94 / $326.18 / $326.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.46 / $662.91 / $1,594.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.94 / $1,182.08 / $1,486.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.08 / $606.05 / $1,255.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.00 / $1,170.38 / $1,462.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.89 / $1,062.59 / $1,867.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,746.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,222.17