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Michigan rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $114.82 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479,108.39 / $2,344,228.82 / $3,467,368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $114.82 / $616.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43