go back

Illinois rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $4,131.27 / $9,657.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $924.00 / $1,097.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.53 / $7,095.60 / $15,476.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.00 / $1,155.00 / $1,155.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.66 / $1,536.15 / $2,427.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.43 / $1,426.43 / $1,426.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,093.73