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Kentucky 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 / $667.32 / $1,961.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $302.36 / $345.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.41 / $294.41 / $294.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $165.00 / $544.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.23 / $512.72 / $640.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.23 / $457.79 / $585.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.09 / $537.09 / $537.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.26 / $2,012.78 / $2,012.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $359.05