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Tennessee rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.87 / $496.87 / $869.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $496.87 / $508.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.76 / $581.69 / $631.07
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.71 / $2,493.10 / $4,369.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.83 / $2,274.83 / $2,693.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $498.87