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Idaho rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.67 / $56.67 / $988.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $58.93 / $59.62
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $59.62 / $85.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $48.46 / $123.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.41 / $73.41 / $90.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $79.03 / $82.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $80.89