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Indiana rates for HCPCS A9586

Florbetapir F18 Diagnostic Per Study Dose Up Tomillicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,743.10 / $6,857.76 / $6,857.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.10 / $2,743.10 / $2,845.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.40 / $1,750.40 / $1,750.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.62 / $4,389.24 / $6,572.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $255.75 / $3,849.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.50 / $3,859.22 / $4,452.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,968.63 / $3,562.36 / $4,007.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $3,428.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $2,857.40 / $4,857.58