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Oregon rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $100.00 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $75.86 / $186.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $72.44