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Tennessee rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.06 / $3,172.50 / $6,929.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,029.07 / $1,053.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.52 / $1,204.71 / $1,307.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.84 / $4,104.20 / $5,155.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,487.04 / $4,711.39 / $5,313.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.15 / $1,701.15 / $1,701.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.20 / $1,033.20 / $1,033.20