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Iowa rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Facilitymedian $129 · 10th–90th $37–$1380%50%10th90th$129Professionalmedian $135 · 10th–90th $129–$1620%50%10th90th$135$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $41.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $144.54 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $154.88 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $162.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $162.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $257.04 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $169.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $134.90 / $134.90