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Indiana rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $1,827.86 / $1,827.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $731.14 / $731.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $1,256.66 / $2,018.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $1,249.04 / $1,469.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.77 / $1,325.20 / $1,462.29
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 / $913.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,142.42