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Connecticut rates for HCPCS A9568

Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.00 / $1,105.00 / $1,728.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.00 / $1,105.00 / $1,105.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $837.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,066.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,066.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.30 / $1,315.65 / $1,315.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.49 / $1,235.00 / $1,296.75