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Indiana rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $129.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $129.62 / $129.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.23 / $89.04 / $122.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $26.36 / $30.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.28 / $21.55 / $30.42
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 / $162.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $190.86