go back

Virginia rates for HCPCS A9593

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.75 / $793.42 / $793.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $1,128.66 / $1,818.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $918.19
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $933.43 / $1,309.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.76 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.76 / $9,929.00 / $10,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $933.43