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Alaska rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $512.86 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,148.15 / $3,235.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $2,187.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $660.69 / $724.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,513.56