go back

Indiana 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
$388.42 / $606.09 / $934.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.02 / $355.61 / $388.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.40 / $520.40 / $1,004.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.32 / $520.40 / $738.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.10 / $621.10 / $716.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.77 / $597.21 / $716.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $651.20