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Michigan rates for HCPCS A9536

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

Facilitymedian $1,413 · 10th–90th $1,122–$2,8180%20%40%10th90th$1,413Professionalmedian $1,202 · 10th–90th $1,122–$1,4130%50%10th90th$1,202$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,174.90 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,202.26 / $1,202.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,818.38 / $3,981.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,380.38 / $1,905.46
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,513.56