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Iowa rates for HCPCS A9556

Gallium Ga-67 Citrate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.84 / $279.89 / $279.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $129.62 / $129.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $32.34 / $52.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.65 / $143.13 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $46.00 / $199.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.68 / $153.91 / $200.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $37.01 / $52.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $38.68 / $56.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.51 / $256.64 / $272.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $163.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.63 / $134.97 / $134.97