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New Jersey 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 / $4,916.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $514.58 / $526.98
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.30 / $1,028.30 / $1,028.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.60 / $526.98 / $633.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.92 / $581.66 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $2,250.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $590.22