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Pennsylvania rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $6,534.00 / $15,370.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $981.75 / $981.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.66 / $1,097.25 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.25 / $1,097.25 / $1,097.25
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 / $981.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.49 / $981.75 / $981.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.61 / $1,183.24 / $3,331.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.82 / $7,905.01 / $15,382.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.10 / $981.75 / $1,079.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.09 / $2,660.24 / $4,119.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.50 / $1,054.50 / $1,159.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.50 / $1,054.50 / $1,159.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,329.21