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Texas 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 / $4,267.00 / $6,140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,050.00 / $1,900.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.14 / $1,431.00 / $2,170.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.00 / $2,283.00 / $2,283.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.08 / $5,908.04 / $6,069.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $1,430.00 / $3,440.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $1,431.00 / $3,031.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.00 / $2,283.00 / $2,283.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.71 / $95.71 / $95.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.60 / $968.60 / $1,307.60