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Arizona rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.24 / $131.24 / $1,260.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.63 / $264.45 / $418.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.35 / $123.14 / $596.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.91 / $144.36 / $263.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $324.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $153.91