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Hawaii rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.65 / $997.37 / $997.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,481.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.98 / $1,316.70 / $1,371.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $1,443.75 / $1,481.29