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Missouri rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $1,212.75 / $6,330.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $924.00 / $958.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.10 / $1,636.25 / $2,685.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.25 / $875.00 / $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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $1,155.00 / $4,331.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.06 / $962.50 / $1,200.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,131.90