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New Jersey rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.92 / $4,825.12 / $17,008.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $57.54 / $58.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.67 / $58.93 / $73.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.34 / $110.71 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.67 / $56.67 / $3,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $61.32