go back

Utah 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 / $496.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.90 / $496.87 / $514.83
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.95 / $960.79 / $1,295.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.71 / $713.09 / $750.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $498.87