go back

Iowa rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $5,167.80 / $7,470.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.07 / $1,239.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.12 / $1,958.90 / $2,178.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,291.88 / $1,614.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.21 / $1,808.11 / $2,275.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.87 / $1,296.86 / $2,082.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $2,066.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.12 / $1,815.47 / $2,093.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.93 / $1,128.93 / $1,128.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.42 / $2,308.34 / $2,604.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,274.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.23 / $1,033.20 / $1,033.20