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Missouri 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
$302.23 / $532.08 / $1,595.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $313.69 / $638.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.76 / $283.76 / $283.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.00 / $1,363.00 / $1,867.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.45 / $289.13 / $377.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.74 / $617.74 / $617.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.36 / $462.61 / $2,285.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.19 / $359.05 / $517.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.94 / $359.05 / $412.91