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Rhode Island rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.80 / $1,099.80 / $1,099.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $924.00 / $981.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $1,020.25 / $1,078.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.50 / $1,039.50 / $1,039.50
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,155.00