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Arkansas rates for HCPCS A9800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.32 / $624.36 / $791.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.54 / $939.36 / $939.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.36 / $939.36 / $939.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.50 / $612.11 / $630.47