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Massachusetts rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,430.09 / $11,875.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,053.85 / $6,930.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.68 / $2,330.55 / $4,104.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,053.85 / $2,966.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.20 / $2,496.83 / $4,718.25
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.55 / $768.60 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.84 / $4,104.20 / $4,104.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $4,711.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,708.95