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Iowa rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.98 / $619.98 / $1,745.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $495.98 / $619.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.25 / $505.31 / $507.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $512.10 / $522.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.42 / $576.48 / $763.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $707.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.48 / $8,781.12 / $11,791.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.48 / $576.48 / $576.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.80 / $1,441.33 / $1,625.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $568.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.15 / $516.65 / $516.65