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Missouri rates for HCPCS A9548

Indium In-111 Pentetate Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.08 / $1,062.59 / $1,115.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $850.08 / $881.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.29 / $1,505.35 / $2,569.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.00 / $759.00 / $1,012.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.29 / $1,009.47 / $3,795.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.68 / $885.50 / $1,104.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $885.50 / $1,041.34