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Tennessee rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $398.11 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $776.25