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Arizona rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.28 / $740.28 / $740.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.27 / $1,664.42 / $2,636.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.26 / $775.02 / $3,753.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.28 / $868.23 / $3,472.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,652.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $761.61