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Washington rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $911.68 / $1,248.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.18 / $526.98 / $533.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.53 / $588.98 / $2,224.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.53 / $588.98 / $2,669.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $12,168.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.84 / $1,835.95 / $3,564.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.51 / $577.51 / $577.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $647.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.98 / $588.98 / $588.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.98 / $588.98 / $588.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.55 / $428.51 / $969.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.53 / $588.98 / $588.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $619.98