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Massachusetts rates for HCPCS A9602

Fluorodopa f-18 diag per mci

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $690.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $508.84 / $508.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.71 / $4,369.20 / $4,369.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $2,274.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.94 / $1,257.99 / $2,504.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.62 / $749.18 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.71 / $4,369.20 / $4,369.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $2,274.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $845.94