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Indiana 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
$1,300.00 / $5,000.00 / $9,596.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.20 / $2,809.00 / $4,185.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.31 / $938.20 / $1,294.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.42 / $1,238.42 / $2,514.67