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New Jersey rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $6,183.13 / $17,409.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.49 / $1,029.07 / $1,053.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.80 / $1,053.85 / $1,240.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.90 / $1,200.71 / $2,311.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.80 / $1,053.85 / $1,053.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,216.65 / $2,216.65 / $2,216.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.68 / $1,033.20 / $1,117.09