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Maine rates for HCPCS A9586

Florbetapir F18 Diagnostic Per Study Dose Up Tomillicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.96 / $2,914.55 / $3,130.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.73 / $2,665.80 / $6,954.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $2,914.54 / $2,914.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $3,491.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.96 / $2,914.55 / $3,272.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $2,857.40 / $4,286.10