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Maryland rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.88 / $508.84 / $508.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.90 / $578.71 / $723.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $528.79