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Oklahoma rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.28 / $740.28 / $740.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $740.28 / $758.56
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $777.29 / $3,472.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $933.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $816.15