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Wisconsin rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Facilitymedian $123 · 10th–90th $22$1620%20%10th90th$123Professionalmedian $129 · 10th–90th $30$1550%20%40%10th90th$129$20.0$50.0$100.0$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. Small sample — interpret with caution. 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 / $134.90 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $44.67 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $41.69 / $138.04
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $128.82 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $69.18 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $128.82 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $245.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $53.70 / $75.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $363.08
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $138.04 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $204.17