Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
gallium Ga-68 gozetotide 18.5 MBq to 185 MBq/mL Soln 1 Each VIAL
Low
$356
Average
$356
Median
$356
High
$356
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4 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 2 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 3 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 4 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
← Payers reporting HCPCS A9594 · Snapshot 20261111T120946Z-9134e7f7