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Utah rates for HCPCS A9548

Indium In-111 Pentetate Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.96 / $881.96 / $881.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.96 / $881.96 / $881.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $1,595.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.47 / $1,243.86 / $1,309.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $885.50