go back

Minnesota 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
$257.04 / $457.09 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $616.60 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,041.74 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $776.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,949.84 / $3,801.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $562.34 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $645.65