go back

Michigan rates for HCPCS A9536

Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $2,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,190.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $1,190.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,372.55 / $2,800.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,372.55 / $1,647.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,485.40