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Maine rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.16 / $135.02 / $99,999.99
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $137.72 / $165.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $153.91 / $223.18