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Wisconsin rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Facilitymedian $224 · 10th–90th $55–$10,9650%20%10th90th$224Professionalmedian $58 · 10th–90th $55–$1450%50%10th90th$58$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $3,890.45 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $57.54 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $190.55 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $77.62 / $89.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $53.70 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $120.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $346.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $70.79 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $79.43