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Michigan rates for HCPCS A9699

Radiopharmaceutical, therapeutic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $34,673.69 / $34,673.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $31,622.78 / $44,668.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $46.77 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $39,810.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $34,673.69 / $34,673.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $34,673.69 / $44,668.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $39,810.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,131.02 / $74,131.02 / $74,131.02