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Nevada 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
$4,193.12 / $4,193.12 / $4,799.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,092.08 / $4,193.12 / $4,294.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,852.11 / $4,420.46 / $13,429.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,647.78 / $4,294.16 / $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 / $4,294.16
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,051.95 / $5,051.95 / $5,051.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,209.96 / $4,209.96 / $4,209.96