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Missouri rates for RC 0404

Other Imaging Services-Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,849.00 / $6,280.00 / $7,114.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.62 / $2,097.96 / $3,248.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.00 / $1,000.00 / $1,597.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $5,637.00 / $8,404.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.61 / $1,919.61 / $1,919.61