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Missouri 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 / $980.10 / $10,561.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $774.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $1,322.36 / $2,170.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.07 / $746.74 / $933.43
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 / $793.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.74 / $886.76 / $3,547.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.96 / $777.86 / $969.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.30 / $777.86 / $914.76