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Rhode Island rates for HCPCS A9572

Insium In-111 Penterotide Diagnostic Per Study Dose Up To 6 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.20 / $3,715.20 / $3,947.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,947.40 / $4,102.20 / $4,334.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.60 / $4,179.60 / $4,179.60
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