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Virginia 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 / $776.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.56 / $776.84 / $776.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $785.28 / $1,265.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $731.14 / $899.00
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $913.93 / $1,281.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.23 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.23 / $9,929.00 / $10,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $913.93