go back

Wyoming 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
$524.40 / $1,070.40 / $1,425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.36 / $302.36 / $302.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.26 / $377.95 / $377.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $359.05