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Minnesota 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 / $774.75 / $933.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.83 / $2,636.89 / $8,243.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,396.70 / $5,331.00 / $5,495.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.39 / $620.63 / $722.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.16 / $564.21 / $820.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $933.43 / $1,419.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $1,534.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $1,400.15