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Massachusetts rates for HCPCS A9593

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $933.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,511.89 / $2,754.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $870.96 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,318.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,511.89 / $2,754.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $549.54 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $794.33 / $1,174.90