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Utah rates for HCPCS A9556

Gallium Ga-67 Citrate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $361.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $189.66 / $199.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $153.91