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Ohio rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $186.90 / $2,281.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $57.53 / $92.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.18 / $89.41 / $164.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $66.73 / $115.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,333.50 / $4,333.50 / $7,366.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,210.00 / $4,333.50 / $4,333.50
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 / $69.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.83 / $59.42 / $222.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $69.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,531.00 / $5,745.90 / $7,571.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $75.69