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Maine rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $512.86 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $512.86 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56