go back

Oklahoma rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.71 / $860.71 / $860.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $860.71 / $881.96
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
$495.83 / $860.71 / $1,230.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,085.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $938.63