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Illinois rates for HCPCS A9556

Gallium Ga-67 Citrate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $129.62 / $129.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $129.62 / $153.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.95 / $1,185.98 / $2,321.73
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.65 / $136.72 / $165.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $168.75