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Massachusetts rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $588.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,348.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $616.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $831.76 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $537.03