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New Jersey rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $512.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $6,309.57 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $602.56 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $549.54