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Pennsylvania rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $986.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $776.84 / $776.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,165.97 / $6,077.61 / $9,116.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,077.61 / $6,077.61 / $6,077.61
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $986.59 / $1,110.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $776.84 / $986.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $993.90