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South Carolina rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $229.09 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $93.33 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $69.18 / $75.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $51.29 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $63.10