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Massachusetts rates for HCPCS A9580

Sodium fluoride F-18, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.80 / $174.80 / $237.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.70 / $174.80 / $209.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.68 / $818.35 / $1,485.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $1,655.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $493.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.68 / $349.68 / $1,485.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $1,655.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $450.00