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North Carolina 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
$288.25 / $664.20 / $1,452.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $321.26 / $769.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.66 / $290.02 / $309.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.09 / $537.09 / $537.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.78 / $2,012.78 / $2,012.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $297.50 / $560.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $5.36
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,481.05 / $3,803.18 / $15,039.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.94 / $681.32 / $809.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $466.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.58 / $829.58 / $2,368.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.92 / $3,651.83 / $3,651.83