go back

Georgia rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.06 / $6,142.80 / $15,322.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.07 / $1,053.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.55 / $511.55 / $1,877.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,062.72 / $1,121.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,084.85 / $1,084.85
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.68 / $1,003.68 / $2,653.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.41 / $1,905.89 / $2,204.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,375.29