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Pennsylvania rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,071.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $912.01
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,862.09 / $14,454.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $5,623.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,071.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $2,398.83 / $2,884.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $512.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,096.48