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Maine rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,532.65 / $9,986.67 / $10,784.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $612.60 / $637.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.67 / $369.57 / $1,053.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $627.35 / $627.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.36 / $738.14 / $1,312.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,532.65 / $9,986.67 / $10,784.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $627.36 / $704.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $891.84