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Ohio rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.00 / $3,404.00 / $9,590.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $924.00 / $997.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.71 / $1,055.10 / $2,252.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.00 / $962.50 / $2,030.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,200.20 / $5,200.20 / $8,840.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,852.00 / $5,200.20 / $5,200.20
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,451.00 / $2,451.00 / $2,451.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,194.46