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Massachusetts rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $114.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $239.88 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $208.93 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $125.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $239.88 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $79.43