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Mississippi rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.06 / $3,321.00 / $8,815.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.06 / $1,487.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.84 / $97.84 / $97.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $97.84 / $97.84
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $50.00 / $1,031.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,033.20 / $1,343.16