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Vermont rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $627.36 / $10,608.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.28 / $1,195.28 / $1,389.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.02 / $1,384.02 / $1,384.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.02 / $1,384.02 / $1,384.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $627.36 / $1,845.18