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North Dakota 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
$360.99 / $417.60 / $1,666.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $313.69 / $377.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.18 / $336.68 / $341.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.63 / $611.63 / $764.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.15 / $426.88 / $1,278.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $2,216.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.19 / $359.05 / $394.96