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North Dakota 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 / $746.74 / $746.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $774.75 / $933.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.24 / $819.61 / $831.37
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 / $793.42 / $1,269.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $3,547.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $871.20