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Utah rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.58 / $514.58 / $514.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.58 / $514.58 / $514.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.98 / $725.74 / $763.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $516.65