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Alaska rates for HCPCS A9587

Gallium Ga-68 Dotatate Diagnostic 0.1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $63.29 / $93.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.85 / $133.85 / $133.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.34 / $93.34 / $146.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.34 / $133.34 / $220.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $86.67 / $116.55