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Idaho rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.36 / $627.36 / $9,203.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $627.36 / $796.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.36 / $768.90 / $1,045.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.60 / $666.48 / $812.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.44 / $531.90 / $560.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $631.04 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.88 / $922.68 / $1,508.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.12 / $841.40 / $876.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $615.05