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New York rates for HCPCS A9593

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.07 / $746.74 / $793.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.07 / $774.75 / $793.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.93 / $427.93 / $534.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.14 / $777.86 / $777.86
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $793.42 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $1,090.04