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Alaska rates for HCPCS A9586

Florbetapir F-18, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,130.56 / $4,628.99 / $4,628.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.46 / $6,619.46 / $6,619.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.87 / $2,711.87 / $3,874.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.43 / $4,800.43 / $7,543.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.43 / $6,619.46 / $11,315.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.87 / $2,914.55 / $3,874.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $4,286.10 / $5,763.95