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South Carolina rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,778.28 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $630.96 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $54.95 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $501.19