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Michigan rates for HCPCS A9501

Technetium Tc-99m teboroxime, diagnostic, per study dose

Facilitymedian $195 · 10th–90th $78–$7590%20%10th90th$195Professionalmedian $78 · 10th–90th $78–$4070%50%90th$78$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $144.54 / $194.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $38,018.94