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West Virginia 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
$1,105.00 / $1,105.00 / $1,105.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.00 / $1,105.00 / $1,105.00
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
$1,066.90 / $1,066.90 / $6,049.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.95 / $1,235.00 / $1,788.65