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South Dakota rates for HCPCS A9596

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

Facilitymedian $6,761 · 10th–90th $1,230$7,4130%20%40%10th90th$6,761Professionalmedian $1,096 · 10th–90th $1,023$1,6220%50%10th90th$1,096$1.0K$2.0K$5.0K$10.0K

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
$1,230.27
Median
$6,918.31
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$6,165.95
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,737.80
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$4,466.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29