Recent PSMA (Pylarify) PET Scan…. Cov... - Advanced Prostate...

Advanced Prostate Cancer

21,001 members26,180 posts

Recent PSMA (Pylarify) PET Scan…. Covered by Medicare.

mandrake248 profile image
5 Replies

I just wanted to report that today I had a PSMA (Pylarify) PET scan at Shields Imaging/Scanning in Springfield, Massachusetts. What’s notable about this is that prior to two weeks ago, Medicare did not cover this procedure. I was told that patients had to pay for it out-of-pocket.

It appears that the scan is becoming more widely available in the USA. Moreover, the good news is that Medicare should now cover it.

Written by
mandrake248 profile image
mandrake248
To view profiles and participate in discussions please or .
5 Replies
Lyubov profile image
Lyubov

Thanks for sharing this. May you have a good outcome.

tango65 profile image
tango65

PSMA PET/CT have been covered by Medicare for many months now. I had one in October 2021 and Medicare covered the bill. They pay for the 18 F Pylarify (DCFPyl PET/CT )and by the Ga 68 PSMA PET/CT done at UCLA and UCSF.

diamondrn profile image
diamondrn

I will be having a PSMA PET scan on January 19. The Veterans Administration in Charlotte will be administering it.

The scan was originally supposed to have been a CT; but my MO prevailed and had it upgraded.

There are only 2 sites available for PSMA PET in North Carolina. Thank God, my local VA is one of them.

Magnus1964 profile image
Magnus1964

Thanks for sharing.

j-o-h-n profile image
j-o-h-n

That's magic..............

Good Luck, Good Health Good Humor.

j-o-h-n Saturday 01/08/2022 7:53 PM EST

You may also like...

Medicare did not pay for the Pylarify used in PSMA PET/CT Scan

the EOB for my Pylarify PSMA scan. The facility billed about $10,000+ , half for the PET/CT, and...

Pylarify PSMA PET scan availability in the US

pylarify.com/ordering-and-reimbursement Medicare hasn't yet agreed to cover, but I've heard some...

Medicare Coverage for PSMA Scan

going to UCLA for the PSMA PET scan, and just found out that Medicare does not yet cover this cost...

Pylarify (PSMA PET/CT) sites

locator for showing where you can get their PSMA PET scans - you enter your zip code:...

Cost of PSMA pet scan

shocked when I saw how much medicare was charged for my PSMA Pet scan. The scan was done in the...