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North Carolina rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.50 / $5,597.76 / $10,579.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.50 / $943.50 / $981.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.63 / $1,010.63 / $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 / $1,155.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.50 / $808.50 / $1,132.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.50 / $808.50 / $808.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,175.81 / $2,270.34 / $2,698.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,251.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.25 / $1,097.25 / $4,014.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,389.00 / $4,389.00 / $5,197.50