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Vermont rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.55 / $1,745.55 / $1,878.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $526.98 / $1,193.67