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Wisconsin rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $977.24 / $977.24
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
$1,380.38 / $1,584.89 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $1,905.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $891.25 / $1,202.26
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $707.95 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $891.25 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,801.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $436.52 / $645.65
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $4,786.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,548.13 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26