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Michigan rates for HCPCS A9560

Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.36 / $89.66 / $224.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.66 / $89.66 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.23 / $166.95 / $296.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.48 / $112.08 / $134.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $95.27 / $95.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.65 / $112.08 / $414.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.66 / $106.00 / $127.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $108.00