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Arizona rates for HCPCS A9588

Fluciclovine F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.99 / $2,047.99 / $2,047.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.18 / $502.18 / $5,176.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.45 / $1,011.92 / $1,603.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.39 / $471.18 / $2,282.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.18 / $619.98 / $2,224.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $1,121.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $516.65