go back

Minnesota 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 / $758.56 / $913.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.98 / $2,581.80 / $8,243.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,396.70 / $5,331.00 / $5,495.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.72 / $431.82 / $502.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.90 / $392.56 / $571.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $913.93 / $1,390.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,502.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,370.90