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Tennessee rates for HCPCS A9593

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.75 / $774.75 / $1,355.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $774.75 / $774.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.65 / $932.66 / $1,001.11
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.76 / $3,547.04 / $3,547.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,547.03 / $3,547.03 / $4,200.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $777.86