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North Carolina rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $870.96 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $128.82 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,148.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30