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Nebraska 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 / $933.43 / $933.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $746.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $746.74 / $3,547.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $933.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.17 / $1,463.15 / $2,137.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.17 / $968.17 / $968.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.97 / $777.86 / $933.43