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North Dakota rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,174.90 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,000.00