go back

Nebraska 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 / $587.63 / $624.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.75 / $564.02 / $975.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.14 / $1,441.18 / $1,572.19
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 / $1,249.83 / $1,542.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $918.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.16 / $1,528.52 / $1,834.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.62 / $989.62 / $989.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.50 / $612.11 / $673.32