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Washington 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 / $1,372.62 / $1,880.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.08 / $793.42 / $802.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.14 / $1,047.98 / $3,547.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.76 / $3,547.03 / $4,200.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $2,150.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.86 / $2,170.73 / $6,705.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.17 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.22 / $1,193.08 / $2,257.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.76 / $886.76 / $886.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.14 / $1,007.68 / $1,047.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $933.43