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Nebraska rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.87 / $7,232.40 / $16,505.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,053.85 / $8,048.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.75 / $564.02 / $975.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.50 / $1,711.73 / $1,867.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,614.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.87 / $1,537.40 / $1,934.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,239.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.12 / $1,711.73 / $2,093.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.93 / $1,128.93 / $1,128.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.54 / $1,033.20 / $1,136.52