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Michigan rates for HCPCS A9501

Technetium Tc-99m Sestamibi Diagnostic Per Study Dose Up To 40 Millucries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $77.91 / $194.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $77.91 / $77.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.11 / $613.02 / $1,090.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.95 / $411.53 / $493.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $144.13 / $194.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $77.91 / $119.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00