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South Carolina rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.38 / $508.38 / $2,055.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.60 / $508.38 / $508.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.01 / $547.86 / $891.81
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.95 / $508.38 / $681.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $516.65