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Arizona rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,731.00 / $2,971.00 / $3,714.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.00 / $1,238.00 / $1,238.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.25 / $1,204.80 / $1,908.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.68 / $1,251.58 / $6,062.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.00 / $2,125.00 / $2,125.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.00 / $1,361.80 / $2,513.14