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Virginia 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 / $912.01 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $870.96 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $851.14 / $1,412.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,071.52 / $1,479.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,288.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,071.52