| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.00 | $5,242.00 | $6,862.00 | |
Aetna
| Professional | $1,500.00 | $1,500.00 | $1,500.00 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |
Pet Imaging Whole Body; Melanoma For Non-Covered Indications (Updated 01-01-2003)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.00 | $5,242.00 | $6,862.00 | |
Aetna
| Professional | $1,500.00 | $1,500.00 | $1,500.00 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |