search again

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
$3,900.96 / $3,947.40 / $6,391.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,761.64 / $3,854.52 / $3,947.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.61 / $4,116.41 / $8,685.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,966.75 / $6,165.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,947.40 / $3,947.40 / $3,947.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,947.40 / $3,947.40 / $3,947.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,870.00 / $4,644.00