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Nevada 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
$3,854.52 / $4,411.80 / $6,225.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,761.64 / $3,854.52 / $3,947.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.61 / $4,063.50 / $12,345.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,947.40 / $6,206.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.61 / $3,947.40 / $3,947.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,947.40 / $3,947.40 / $3,947.40
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,044.15 / $4,644.00 / $4,644.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.98 / $2,115.98 / $2,115.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,870.00 / $3,870.00