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Illinois 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
$302.00 / $794.33 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $288.40 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,778.28 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $831.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $380.19