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Oregon rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $11,802.80 / $11,802.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.65 / $958.65 / $997.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.50 / $1,963.50 / $1,963.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.65 / $1,270.50 / $2,061.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.63 / $773.63 / $1,487.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.25 / $1,097.25 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.65 / $1,371.56 / $2,194.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $1,316.70 / $1,371.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.71 / $1,417.07 / $3,141.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.25 / $1,097.25 / $1,097.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,106.88