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Missouri rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Facilitymedian $135 · 10th–90th $0$2240%50%10th90th$135Professionalmedian $132 · 10th–90th $120$1620%50%10th90th$132$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $131.83 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $134.90 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $123.03 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $141.25 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $154.88 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $154.88 / $162.18