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Oklahoma 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
$390.43 / $780.00 / $1,509.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $306.14 / $313.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.06 / $279.06 / $300.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.14 / $349.00 / $1,170.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $480.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $380.59