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Illinois rates for HCPCS A9800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $602.56 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,445.44 / $1,778.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $831.76