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Oregon rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $162.18 / $208.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $138.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $45.71 / $45.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $162.18 / $309.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $138.04 / $190.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $186.21