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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
$1,047.13 / $1,071.52 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,071.52 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $2,187.76 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,258.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,258.93