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North Dakota 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 / $731.14 / $731.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $758.56 / $913.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.74 / $802.49 / $814.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $776.84 / $1,242.94
Medica
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 / $853.00