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Indiana rates for HCPCS A9580

Sodium fluoride F-18, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.99 / $211.99 / $211.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.81 / $159.66 / $211.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $600.00 / $990.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $544.00 / $750.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.60 / $314.04 / $576.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.57 / $301.95 / $362.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $375.15