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Nationwide rates for HCPCS A9572

Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $5,248.07 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,890.45 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,011.87 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,168.69 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,995.26 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,677.35