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New York rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.61 / $731.14 / $776.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.61 / $758.56 / $776.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.74 / $297.74 / $372.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.37 / $761.61 / $761.61
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 / $776.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $776.84 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.38 / $761.61 / $1,101.01