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Kentucky rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.87 / $2,103.26 / $9,890.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $991.87 / $1,053.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.77 / $1,218.40 / $1,278.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.00 / $1,128.00 / $1,128.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.38 / $43,499.57 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.09 / $1,684.25 / $47,249.53
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,106.56