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Utah rates for HCPCS A9594

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.56 / $758.56 / $758.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.56 / $758.56 / $758.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.29 / $1,468.11 / $2,959.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $761.61