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Nebraska rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $912.01