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Michigan rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.46 / $1,476.15 / $12,047.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.46 / $612.60 / $673.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.44 / $488.25 / $856.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.82 / $345.74 / $448.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $797.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.46 / $664.26 / $11,973.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.46 / $651.96 / $782.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $652.58