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Kansas 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 / $1,239.83 / $7,830.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.06 / $1,239.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.40 / $1,082.40 / $1,082.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,278.00 / $1,278.00
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
$991.87 / $1,128.00 / $1,425.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $4,487.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,163.07