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Wisconsin rates for HCPCS A9594

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

Facilitymedian $724 · 10th–90th $363$9120%20%10th90th$724Professionalmedian $759 · 10th–90th $724$9120%50%10th90th$759$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $741.31 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $776.25 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $426.58 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,174.90
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $776.25 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $724.44 / $912.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $3,467.37
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $371.54 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,000.00