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Mississippi 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
$1,066.00 / $1,066.00 / $1,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.00 / $1,560.00 / $1,755.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.59 / $1,235.00 / $1,605.50