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Illinois rates for HCPCS A9587

Gallium Ga-68 Dotatate Diagnostic 0.1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $835.43 / $7,822.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $57.53 / $85.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.98 / $491.14 / $955.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $66.67 / $66.67
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.69 / $155.12 / $199.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $63.35