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New Jersey rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $38,018.94
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,862.09 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $776.25 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $794.33