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Missouri rates for HCPCS A9800

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.63 / $1,038.24 / $1,038.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $587.63 / $791.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.01 / $1,040.58 / $1,707.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.60 / $791.04 / $988.80
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
$791.04 / $988.80 / $2,159.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $3,757.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $612.11 / $719.85