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North Dakota 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 / $1,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.00 / $1,079.00 / $1,300.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.81 / $1,080.02 / $1,095.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,882.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $1,352.00 / $1,852.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $7,425.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,383.20