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Michigan rates for HCPCS 78491

Myocrd Img Pet Prfuj Single Study Rest/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.59 / $1,400.59 / $1,400.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,400.59 / $1,400.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.61 / $2,172.71 / $3,863.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.77 / $106.08 / $127.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.13 / $794.28 / $3,434.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.93 / $1,383.98 / $2,100.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.93 / $657.66 / $1,674.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $106.61 / $123.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.20 / $1,399.00 / $2,074.46