go back

West Virginia 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
$213.80 / $831.76 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $316.23 / $380.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $616.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $363.08 / $363.08