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Arizona rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,242.00 / $5,608.00 / $5,773.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.00 / $2,300.79 / $2,559.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.08 / $1,329.01 / $1,903.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,436.00 / $4,694.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,871.43 / $4,871.43 / $4,871.43