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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
$1,071.52 / $1,071.52 / $5,623.41
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
$870.96 / $1,737.80 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $1,479.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,318.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,071.52 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,584.89