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New York rates for RC 0404

Other Imaging Services-Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,685.00 / $9,341.00 / $10,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,210.00 / $10,899.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.00 / $5,618.00 / $5,786.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $1,215.00 / $1,215.00
Fidelis
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.37 / $1,210.53 / $3,108.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $4,977.00 / $5,786.00