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Vermont rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
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
$2,600.44 / $2,600.44 / $2,809.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
MVP Health Care
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 / $1,053.85 / $3,099.60