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Maryland rates for HCPCS A9587

Gallium Ga-68 Dotatate Diagnostic 0.1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.00 / $7,655.01 / $8,933.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $58.93 / $157.93
CareFirst
Facility/Professional
Professional
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $65.86 / $84.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $69.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $63.34 / $63.34