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Michigan rates for HCPCS Q9969

Tc-99m From Non-Highly Enriched Uranium Source Full Cost Recovery Add-On Per Study Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $22.79 / $85.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $14.90 / $26.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $10.00 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $25.78 / $85.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $9.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00