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New Jersey rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $10,821.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $958.65 / $981.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.50 / $981.75 / $1,221.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.58 / $1,469.63 / $16,128.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.00 / $981.75 / $981.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.10 / $918.10 / $918.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,021.41