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Maine rates for HCPCS A9580

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.95 / $181.15 / $181.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.57 / $927.57 / $927.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $306.00 / $306.00
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $366.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.95 / $181.15 / $181.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $450.00