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Maine rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,118.34 / $9,118.34 / $9,400.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $997.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.88 / $722.87 / $1,885.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $981.75 / $981.75
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,176.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,118.34 / $9,118.34 / $9,400.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $997.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,395.63