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Mississippi 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
$4,142.60 / $4,142.60 / $6,062.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,142.60 / $6,062.34 / $6,820.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.55 / $1,843.55 / $1,843.55
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
$4,041.56 / $4,209.96 / $5,472.95