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Oklahoma rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.24 / $131.24 / $223.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $131.24 / $134.47
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.09 / $131.24 / $162.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.74 / $153.91 / $170.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $169.73