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Arizona rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,961.88 / $7,702.50 / $8,591.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $59.86 / $5,319.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.66 / $108.83 / $172.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $50.67 / $245.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.67 / $77.22 / $343.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $57.78