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Michigan rates for HCPCS Q9953

Injection, iron-based magnetic resonance contrast agent, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $14.02 / $35.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.02 / $14.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.46 / $53.56 / $114.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $32.34 / $41.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $68.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $35.04 / $60.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $60.83 / $72.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $66.88