go back

Michigan rates for HCPCS 0439T

Myocardial Perfusion Echo Ischm/Viability Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.93 / $89.93 / $89.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.28 / $89.93 / $112.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.34 / $112.34 / $112.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $69.09 / $78.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.93 / $100.44 / $100.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.93 / $100.44 / $125.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.22 / $116.84 / $170.40