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Connecticut rates for HCPCS G0219

Pet Imaging Whole Body; Melanoma For Non-Covered Indications (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $5,795.78 / $7,420.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,080.00 / $1,080.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,918.00 / $5,512.00 / $8,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.45 / $3,455.12 / $4,917.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $83.51 / $83.51