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Michigan rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.45 / $635.11 / $1,254.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $635.11 / $674.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.55 / $740.33 / $1,316.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.15 / $497.00 / $596.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.20 / $674.81 / $674.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.58 / $701.26 / $1,419.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $701.26 / $841.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $793.88