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Maine rates for HCPCS A9552

Fluorodeoxyglucose F-18 Fdg Diagnostic Per Study Does Up To 45 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.67 / $319.06 / $1,411.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $313.69 / $345.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.95 / $99,999.99 / $120,119.98
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.50 / $971.50 / $971.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $539.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.67 / $321.80 / $1,411.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $321.26 / $626.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $538.58