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Rhode Island rates for HCPCS A9570

Indium In-111 Labeled Autologous White Blood Cells Diagnostic Per Study Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.89 / $4,734.89 / $4,734.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,041.56 / $4,041.56 / $4,294.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.16 / $4,462.56 / $4,715.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,546.76 / $4,546.76 / $4,546.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.16 / $4,294.16 / $4,294.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,294.16 / $4,294.16 / $4,294.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,209.96 / $4,209.96 / $4,209.96