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Arizona rates for HCPCS A9800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.98 / $7,071.45 / $7,977.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $594.98 / $624.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.78 / $923.21 / $2,283.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.58 / $751.49 / $1,775.39
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.93 / $988.80 / $1,756.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $1,328.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $612.11