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Nebraska 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
$472.15 / $783.70 / $9,462.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $443.76 / $638.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $400.00 / $402.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.25 / $383.75 / $387.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.44 / $626.39 / $921.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.18 / $615.16 / $1,642.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $740.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.74 / $528.05 / $680.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.60 / $528.05 / $745.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.10 / $359.05 / $359.05