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Maryland rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $981.75 / $981.75
CareFirst
Facility/Professional
Professional
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.66 / $1,097.25 / $1,261.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,155.00