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New York rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,034.00 / $6,230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,080.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.70 / $551.00 / $1,079.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.33 / $1,608.33 / $1,608.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.54 / $827.54 / $827.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.44 / $2,408.44 / $2,408.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $83.51 / $83.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.54 / $827.54 / $827.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.54 / $827.54 / $827.54