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Michigan rates for HCPCS 78469

Myocrd Infarct Avid Plnr Tomog Spect W/Wo Quantj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.65 / $50.65 / $50.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.51 / $234.66 / $234.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.83 / $184.01 / $184.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.74 / $289.52 / $338.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.74 / $360.00 / $495.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.09 / $284.89 / $421.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.52 / $35.52 / $50.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.80 / $219.50 / $311.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.27 / $171.55 / $276.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $169.62 / $227.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.08 / $252.97 / $348.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.10 / $203.21 / $286.74