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Illinois rates for HCPCS A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $812.83 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,467.37 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $891.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $549.54