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Arizona rates for HCPCS A9552

Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.13 / $526.37 / $1,550.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.14 / $326.37 / $638.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.80 / $295.97 / $430.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $619.88 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $287.24 / $1,391.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.14 / $437.78 / $2,285.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $593.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $359.05