go back

Michigan rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,342.94 / $3,342.94 / $3,342.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.00 / $610.00 / $610.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471,000.00 / $2,327,000.00 / $3,434,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $110.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,342.94 / $3,342.94 / $3,342.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.00 / $610.00 / $610.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00