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Kentucky rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.62 / $129.62 / $720.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $129.62 / $134.47
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
$67.42 / $77.53 / $89.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.01 / $27.01 / $27.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $27.01 / $125,998.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $137.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $137.72 / $162.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $153.91