Fluorodopa F-18 diagnostic imaging agent at Fairview Maple Grove Surgery Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fluorodopa f-18 diag per mci

Maple Grove, MN

See all hospitals reporting HCPCS A9602 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $603 is 31% below the median hospital's median price ($874), higher than 23% of the 984 hospitals reporting HCPCS A9602. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9602 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Blue Cross Blue Shield medicaid fee schedule · outpatient	$242	$242	—	—	—	$242 – $242
2	Cigna commercial fee schedule · outpatient	$376	$376	$33	9%	—	$344 – $409
3	Blue Cross Blue Shield federal fee schedule · outpatient	$399	$399	—	—	—	$399 – $399
4	Blue Cross Blue Shield commercial fee schedule · outpatient	$406	$406	—	—	—	$406 – $406
5	Blue Cross Blue Shield federal fee schedule · both	$509	$509	—	—	—	$509 – $509
6	Blue Cross Blue Shield commercial fee schedule · both	$518	$518	—	—	—	$518 – $518
7	Medica ma non-snp fee schedule · both	$603	$603	—	—	—	$603 – $603
8	Medica ma snp fee schedule · both	$603	$603	—	—	—	$603 – $603
9	Medica prime solution fee schedule · both	$603	$603	—	—	—	$603 – $603
10	Medica vantage fee schedule · both	$603	$603	—	—	—	$603 – $603
11	UnitedHealthcare medicare advantage fee schedule · outpatient	$860	$860	—	—	—	$860 – $860
12	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$894	$894	—	—	—	$894 – $894
13	UnitedHealthcare commercial fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
14	Medica bold fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
15	Medica choice without / elect fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Medica city of st paul / essential uplan fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Medica choice with fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Ucare ifp with fairview fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
19	Ucare ifp fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Last updated: May 18, 2026

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