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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
$1,977.60 / $8,193.32 / $9,463.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $587.63 / $624.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $1,210.21 / $2,122.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.80 / $856.96 / $1,112.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.09 / $7,660.53 / $9,463.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $648.84 / $850.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $100.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $649.45