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Kentucky 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
$1,040.00 / $1,040.00 / $5,782.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.00 / $1,040.00 / $1,079.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,305.17 / $2,023.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.01 / $1,235.00 / $1,235.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.67 / $1,100.67 / $1,100.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,443.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.00 / $1,066.90 / $6,049.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,300.00