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South Carolina rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.67 / $5,943.50 / $29,581.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.80 / $1,016.67 / $1,053.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.91 / $879.86 / $1,328.80
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.56 / $1,053.85 / $1,728.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.56 / $826.56 / $826.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $924.96 / $1,067.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.54 / $1,033.20 / $1,136.52