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Michigan rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.57 / $586.54 / $1,583.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.53 / $586.54 / $848.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.69 / $666.15 / $1,184.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.84 / $447.20 / $536.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $790.27 / $790.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.13 / $839.40 / $1,583.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.54 / $929.73 / $1,115.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $951.96