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Michigan rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $724.44 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $724.44 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $234.42 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $154.88 / $691.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $691.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $144.54 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $154.88