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South Carolina rates for HCPCS A9587

Gallium Ga-68 Dotatate Diagnostic 0.1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.85 / $56.85 / $221.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.67 / $56.85 / $59.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.53 / $91.59 / $152.79
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 / $58.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.85 / $71.78 / $73.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $57.78