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Virginia rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.72 / $137.72 / $245.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $137.72 / $137.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.28 / $105.28 / $135.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.61 / $129.61 / $129.61
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $31.46 / $153.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.72 / $162.02 / $227.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $41.00 / $53.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $163.29