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Maryland rates for HCPCS A9568

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,105.00 / $1,105.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.73 / $1,902.73 / $1,902.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,066.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.75 / $1,235.00 / $1,745.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,309.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,235.00