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Ohio 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 / $1,948.99 / $3,619.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $793.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.70 / $948.40 / $1,820.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $840.08 / $1,641.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $933.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $965.32