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Michigan rates for HCPCS A9593

Gallium ga-68 psma-11 ucsf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.74 / $746.74 / $1,866.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $746.74 / $793.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.55 / $796.80 / $1,416.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.16 / $534.91 / $641.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.53 / $840.09 / $1,381.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.74 / $824.53 / $989.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $825.31