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Michigan rates for HCPCS A9538

Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.49 / $64.56 / $488.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $61.49 / $70.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.35 / $51.44 / $91.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $34.53 / $41.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $65.33 / $65.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $64.56 / $488.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $67.89 / $81.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $70.01