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Indiana 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
$302.36 / $1,476.13 / $2,313.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $302.36 / $630.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $288.77 / $400.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.00 / $544.00 / $1,049.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $544.00 / $750.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.02 / $519.78 / $577.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.02 / $423.52 / $500.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.26 / $321.26 / $321.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $448.99