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Indiana rates for HCPCS A9588

Fluciclovine F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.98 / $1,186.56 / $1,186.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $495.98 / $495.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.42 / $594.15 / $1,188.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.55 / $389.55 / $553.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.18 / $7,626.96 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66
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 / $619.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $646.07