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Michigan rates for HCPCS A9580

Sodium fluoride F-18, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.44 / $188.44 / $471.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.66 / $188.44 / $188.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.78 / $835.67 / $1,486.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.95 / $561.00 / $673.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.44 / $348.61 / $471.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $188.44 / $510.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $327.90