Good news. Medicare will pay for Ga 68 PSMA and for the Pylarify PET/CTs.
This is the link to the document from Medicare. Search for Ga 68 PSMA PET CT and Pylarify , I believe in pages 53 , 57 and 62 of the pdf format of the document (group 10 and Group 16).
You could also call UCLA and inquire. UCLA Nuclear Medicine Scheduling 310-794-1005. (Use option 1 ). UCLA is not charging the $ 3,300.00 anymore and it is billing Medicare and secondary insurances for part B.
It seems that the approved Medicare payment will be $ 5,224.00 for the Pylarify PET/CT. The price without insurance is around $ 21,000.00.
People with Medicare part B and without supplemental insurance will pay 20% of the $ 5224. People with Medicare Advantage or other supplemental insurances will pay nothing or around $ 220 depending on the insurance they have,.