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Arizona rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $426.58 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,071.52
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19