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Missouri rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.16 / $2,850.00 / $4,652.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.16 / $1,300.00 / $1,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.20 / $938.20 / $968.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.68 / $90.68 / $1,099.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.16 / $1,300.00 / $2,600.00