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Iowa rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.93 / $913.93 / $913.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $731.14 / $913.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $947.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,230.55 / $1,230.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $913.93 / $1,302.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,043.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.34 / $1,519.40 / $2,092.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.95 / $947.95 / $947.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $837.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.01 / $372.17 / $372.17