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Wisconsin rates for HCPCS A9594

Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $731.14 / $731.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $731.14 / $913.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.51 / $800.17 / $829.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $761.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.64 / $376.13 / $776.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $913.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $731.14 / $913.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.17 / $731.14 / $913.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $1,142.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.00 / $3,070.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $758.56 / $913.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,472.92 / $3,472.92 / $3,472.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $968.77 / $3,472.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $990.09