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Massachusetts rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,948.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,178.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.25 / $1,097.25 / $4,014.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $4,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.53 / $2,373.05 / $4,371.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.10 / $940.26 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,638.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.25 / $1,097.25 / $4,014.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $4,389.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,710.11