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Massachusetts rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $1,054.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $776.84 / $868.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.76 / $2,302.39 / $2,644.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.29 / $776.84 / $1,922.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.41 / $1,586.70 / $2,922.62
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $588.03 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $1,296.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.23 / $868.23 / $3,472.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $3,472.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,066.28