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Michigan rates for HCPCS A9594

Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $731.14 / $1,827.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $731.14 / $776.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.54 / $554.38 / $985.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.56 / $372.17 / $446.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.31 / $822.54 / $1,352.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $807.31 / $968.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $832.44