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Rhode Island 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 / $4,449.12 / $4,449.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,053.85 / $1,053.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,095.19 / $1,157.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.85 / $1,115.85 / $1,115.85
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,033.20