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Michigan rates for HCPCS A9588

Fluciclovine F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,318.26 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $407.38 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $616.60 / $2,041.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $954.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $549.54 / $588.84