A9594 – Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie

Long description

Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie

Short description

Gallium ga-68 psma-11, ucla

Pricing indicator

57 Other carrier priced

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

I1E Standard imaging - nuclear medicine

ASC

Approved for ambulatory surgical centers

Added

July 1, 2021

Last change

January 1, 2025 – No change

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