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Delaware rates for HCPCS A9596

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,708.42 / $2,708.42 / $6,290.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.06 / $1,053.85
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.54 / $2,272.54 / $2,272.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,033.20 / $1,674.59