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Arkansas rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $3,172.50 / $5,664.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.07 / $1,070.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.84 / $1,177.84 / $1,177.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.54 / $1,033.20 / $1,118.08