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Iowa rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.00 / $1,189.65 / $6,692.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $924.00 / $1,155.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.66 / $981.75 / $1,199.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,986.02 / $2,149.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.10 / $1,110.92 / $1,422.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,318.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.06 / $1,678.90 / $2,254.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.92 / $1,110.92 / $1,110.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.27 / $2,883.24 / $3,251.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,058.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.38 / $962.50 / $962.50