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North Carolina rates for HCPCS A9593

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.28 / $721.28 / $721.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.28 / $721.28 / $793.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.75 / $816.75 / $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 / $933.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.40 / $653.40 / $865.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.40 / $653.40 / $653.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $1,205.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.76 / $886.76 / $3,547.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,547.03 / $3,547.03 / $4,200.43