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North Dakota rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $6,023.52 / $6,023.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $958.65 / $1,155.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.04 / $1,014.17 / $1,028.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.66 / $981.75 / $1,199.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $1,201.20 / $1,645.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $4,389.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,058.75