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Michigan rates for HCPCS A9590

Iodine I-131, iobenguane, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $851.14 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $316.23 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $851.14 / $1,071.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $537.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $338.84