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Ohio 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
$158.19 / $710.55 / $1,400.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $313.69 / $830.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.80 / $456.80 / $456.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $206.25 / $336.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.43 / $475.54 / $570.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.43 / $494.56 / $882.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.63 / $683.63 / $1,117.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.91 / $319.13 / $1,385.31
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.28 / $165.28 / $683.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $467.48