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Michigan rates for HCPCS A9551

Technetium Tc-99m Succimer Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,438.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $611.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.26 / $233.11 / $414.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.66 / $156.49 / $187.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $647.37 / $1,064.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $635.39 / $762.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $725.02