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Montana rates for HCPCS A9596

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

Facilitymedian $1,995 · 10th–90th $1,047$69,1830%10%10th90th$1,995Professionalmedian $1,023 · 10th–90th $1,000$1,0960%50%10th90th$1,023$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$18,620.87
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$69,183.10
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,041.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$1,096.48
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48