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Florida rates for HCPCS A9568

Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $1,079.00 / $1,079.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.00 / $1,079.00 / $1,105.00
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $1,196.00 / $1,196.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.00 / $1,196.00 / $1,410.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $2,140.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,296.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.76 / $1,267.76 / $1,267.76