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Missouri rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.91 / $598.64 / $628.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $478.91 / $508.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.70 / $935.01 / $3,138.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.98 / $478.91 / $598.64
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.91 / $598.64 / $1,307.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $2,274.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.89 / $498.87 / $586.66