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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
$407.38 / $707.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $398.11 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $380.19 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $616.60 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $954.99
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,981.07 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $363.08 / $363.08