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New York rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.19 / $903.21 / $1,987.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.19 / $881.96 / $903.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.23 / $572.23 / $715.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.87 / $885.50 / $885.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.79 / $619.79 / $6,500.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $619.79 / $619.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.10 / $447.13 / $903.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,083.84 / $3,406.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.73 / $903.21 / $903.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.21 / $938.63 / $938.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $938.63 / $938.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.21 / $980.21 / $980.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.13 / $447.13 / $903.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,305.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.21 / $903.21 / $943.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $943.50