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Colorado rates for HCPCS A9571

Indium In-111 labeled autologous platelets, diagnostic, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,041.56 / $4,041.56 / $4,041.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,041.56 / $4,041.56 / $4,799.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,388.75 / $7,620.03 / $13,513.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.59 / $3,976.07 / $4,294.16
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 / $5,917.60
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,041.56 / $4,294.16 / $7,156.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,209.96 / $4,209.96 / $4,209.96