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Wyoming rates for HCPCS A9596

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,053.85 / $6,930.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,239.83 / $1,239.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,239.83 / $1,239.83
Cigna
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 / $1,033.20 / $1,033.20