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Michigan rates for HCPCS A9508

Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $2,570.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,202.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $954.99