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Minnesota rates for HCPCS A9596

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,760.83 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,023.29 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,467.37 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $1,659.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,388.44 / $4,897.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,513.56