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Washington 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 / $1,343.93 / $1,841.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.28 / $776.84 / $785.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.30 / $1,026.08 / $3,472.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.23 / $3,472.93 / $4,112.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $2,105.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.55 / $2,125.38 / $6,565.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.79 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.90 / $1,207.63 / $2,210.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.23 / $868.23 / $868.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.30 / $986.63 / $1,026.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $913.93