go back

Missouri rates for HCPCS A9596

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.87 / $1,301.83 / $4,826.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $991.87 / $1,070.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.55 / $1,745.41 / $2,719.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.60 / $944.64 / $1,180.80
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.87 / $1,177.84 / $2,707.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $4,487.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,215.04