go back

Utah rates for HCPCS A9586

Florbetapir F18 Diagnostic Per Study Dose Up Tomillicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.97 / $2,845.97 / $2,845.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.97 / $2,845.97 / $2,845.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $1,174.76 / $3,505.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,257.44 / $4,013.82 / $4,224.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $2,857.40 / $2,857.40