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North Carolina rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.21 / $706.21 / $706.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.21 / $706.21 / $776.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.69 / $799.69 / $913.93
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.75 / $639.75 / $847.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.75 / $639.75 / $639.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $990.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.23 / $868.23 / $3,472.92
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,472.93 / $3,472.93 / $4,112.68