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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
$257.04 / $407.38 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $389.05 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $407.38