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Michigan rates for HCPCS A9800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $7,585.78 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $602.56 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $645.65 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $812.83 / $7,585.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,096.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $831.76