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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
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,162.28 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,897.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,630.78 / $4,168.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,162.28 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94