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Utah rates for HCPCS A9595

Piflufolastat F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.60 / $13,443.58 / $15,677.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $634.74 / $9,741.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.36 / $738.14 / $768.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.90 / $1,242.54 / $1,783.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.17 / $863.98 / $909.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $615.05