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Pennsylvania rates for HCPCS A9597

Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,721.92 / $4,721.92 / $4,721.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $2,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.54 / $1,250.54 / $1,498.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,721.92 / $4,721.92 / $4,721.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $2,200.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.54 / $1,250.54 / $1,498.28