My health insurance company replied to my email with more questions than answers, which was okay by me because they were trying to learn more about the Ga68 PSMA PET scan at UCLA.
First, they were looking for the Current Procedural Terminology (CPT) codes that would apply to the imaging. I didn’t know what those were, so I had to do a little searching:
Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American Medical Association — and used by physicians, allied health professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to represent the services and procedures they perform. No provider of outpatient services gets paid without reporting the proper CPT® codes.https://www.aapc.com/codes/cpt-codes-range/
I called the Nuclear Medicine Clinic at UCLA (+1 310-794-1005) to get the applicable CPT codes, and they happily shared them with me:
My insurance company also wanted to know the specific address of the clinic to help determine if they were in or out of network:
200 UCLA Medical Plaza
Los Angeles, CA 90095
Lastly, I did ask the UCLA representative how much the scan costs and, as of 8 July 2021, it’s $3,300.
So I fired all of that information back to my insurance representative and am awaiting her response. I’ll keep you posted.
P.S. To anyone trying to get information about the Ga68 PSMA PET at UCLA for their insurance company, you’re welcome!