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North Dakota 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 / $587.63 / $587.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $609.66 / $734.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.24 / $645.92 / $712.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.26 / $575.26 / $661.55
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 / $1,690.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $685.56