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Minnesota rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.02 / $162.02 / $162.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $139.34 / $162.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $56.18 / $198.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $56.18 / $56.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.12 / $82.42 / $198.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $32.34 / $35.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $75.34 / $156.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $25.88 / $32.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.96 / $137.72 / $246.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $303.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $277.06