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Maine rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $57.54 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $74.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $60.26 / $87.10