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New York rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $478.63 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $954.99 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $870.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $512.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $524.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $524.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $501.19 / $660.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $524.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $524.81