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Massachusetts rates for HCPCS A9596

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $8,317.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,023.29 / $1,318.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,951.21 / $4,073.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,570.40 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,318.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,951.21 / $4,073.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,096.48 / $1,148.15