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Michigan rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Facilitymedian $245 · 10th–90th $60–$6170%10%20%10th90th$245Professionalmedian $251 · 10th–90th $52–$3240%20%40%10th90th$251$50.0$100.0$200.0$500.0$1.0K

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
$123.03 / $245.47 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $251.19 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $269.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $912.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $457.09
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $309.03 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $263.03 / $281.84