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Arizona rates for HCPCS A9596

Gallium Ga-68 gozetotide, diagnostic, (Illuccix), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,255.96 / $75,636.99 / $75,636.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.06 / $1,053.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.66 / $1,102.47 / $2,726.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.14 / $897.41 / $2,120.13
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.27 / $1,205.11 / $2,179.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $2,242.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,033.20