go back

West Virginia rates for HCPCS A9596

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.24 / $1,159.24 / $22,869.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,053.85 / $1,053.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,999.67 / $44,999.55 / $44,999.55
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.23 / $1,503.41 / $2,358.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,033.20 / $1,239.83