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Utah 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 / $57.54 / $6,717.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $81.15 / $85.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $57.78