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Missouri rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $741.31 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $389.05 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $724.44 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $912.01 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $371.54 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $891.25