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Utah rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.65 / $1,550.19 / $10,393.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.65 / $958.65 / $958.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.24 / $1,932.88 / $3,638.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.25 / $1,352.03 / $1,423.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $962.50