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Piflufolastat F-18 (Pylarify), Diagnostic

Michigan rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Rates data updated July 2026.

How much does Pylarify (piflufolastat f-18) cost?

$631

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $977 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$603 to $646
FacilityA hospital or hospital-owned outpatient department$977$575 to $1,288

How much rates vary

Facilitymedian $977 · 10th to 90th $347 to $1,514Professionalmedian $631 · 10th to 90th $347 to $692
$500$1K$2Kfacility $977professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,202.26
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$851.14
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$2,187.76
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,071.52
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$630.96

Where Michigan sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 36th of 51

$631

IA $759KY $617

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.