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Michigan rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.91 / $478.91 / $1,197.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $478.91 / $508.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.21 / $466.21 / $466.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.90 / $484.86 / $606.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.79 / $528.79 / $1,197.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $528.79 / $634.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $598.64