go back

Idaho rates for HCPCS A9588

Fluciclovine F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $526.98 / $533.17
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $533.17 / $762.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $450.57 / $1,148.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.51 / $428.51 / $525.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.98 / $706.78 / $736.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $723.31