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Indiana rates for HCPCS A9593

Gallium Ga-68 PSMA-11, diagnostic, (UCSF), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.74 / $1,866.86 / $1,866.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $746.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $1,294.48 / $2,061.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $1,275.69 / $1,501.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.44 / $1,353.47 / $1,493.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $933.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $972.71