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Massachusetts rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $6,920.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,140.00 / $5,100.00 / $5,700.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $13,235.40 / $20,826.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $22,800.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.10 / $7,273.20 / $15,504.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $7,536.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $3,094.41 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,355.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,700.00 / $5,700.00 / $28,500.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $22,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $8,270.20