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Piflufolastat F-18 (Pylarify), Diagnostic

Vermont rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Rates data updated July 2026.

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

$646

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,122 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 4 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$646$525 to $646
FacilityA hospital or hospital-owned outpatient department$1,122$955 to $1,380

How much rates vary

Facilitymedian $1,122 · 10th to 90th $389 to $1,660Professionalmedian $646 · 10th to 90th $525 to $646
$500$1Kfacility $1,122professional $646

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$977.24

Where Vermont 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.

Vermont· 6th of 51

$646

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.