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Rhode Island rates for HCPCS A9593

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $793.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $824.53 / $871.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.09 / $840.09 / $840.09
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $933.43