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Idaho rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $508.84 / $514.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.87 / $540.57 / $658.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.00 / $873.84 / $1,398.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $897.00 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.22 / $670.32 / $1,117.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.88 / $694.45 / $723.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $498.87