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South Carolina rates for HCPCS A9572

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.08 / $3,808.08 / $15,396.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,808.08 / $3,808.08 / $5,789.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,086.72 / $4,644.00 / $5,572.80
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.08 / $5,108.39 / $6,470.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,870.00 / $3,870.00