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Minnesota 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 / $6,696.09 / $16,505.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.06 / $1,239.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.18 / $1,779.23 / $3,674.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.09 / $1,003.68 / $1,053.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.45 / $3,359.56 / $4,346.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.79 / $1,502.02 / $1,640.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.50 / $3,169.40 / $4,514.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.88 / $1,291.88 / $1,378.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.84 / $1,239.83 / $2,120.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $2,370.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,872.98