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Iowa rates for HCPCS A9593

Gallium ga-68 psma-11 ucsf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.43 / $933.43 / $933.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $933.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $968.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,250.58 / $1,250.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $933.43 / $1,330.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $1,065.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.13 / $1,551.83 / $2,137.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.17 / $968.17 / $968.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $855.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.58 / $534.91 / $534.91