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Utah rates for HCPCS Q9982

Flutemetamol F-18, diagnostic, per study dose, up to 5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,187.20 / $3,187.20 / $3,187.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.20 / $3,187.20 / $3,264.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,264.00 / $3,264.00 / $3,264.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,648.00 / $3,830.40 / $4,731.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00