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Hawaii rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.87 / $496.87 / $508.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $664.07 / $781.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.58 / $694.45 / $810.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $703.13 / $781.26