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North Dakota rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.91 / $478.91 / $478.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $496.87 / $598.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.40 / $526.42 / $580.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.42 / $328.42 / $377.68
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 / $1,041.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $558.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $541.79