go back

Washington rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $128.63 / $9,912.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $58.93 / $78.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.34 / $68.70 / $343.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $65.86 / $300.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $58.93 / $7,711.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.68 / $314.55 / $610.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $77.98 / $77.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.34 / $63.34 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.34 / $63.34 / $63.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $63.34 / $63.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.86 / $66.73 / $166.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $65.86 / $65.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $69.34