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Pennsylvania rates for HCPCS A9593

Gallium ga-68 psma-11 ucsf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $1,007.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $793.42 / $793.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,276.21 / $6,207.30 / $9,310.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,207.30 / $6,207.30 / $6,207.30
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $1,007.64 / $1,134.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $793.42 / $1,007.64
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Priority Health
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 / $1,015.11