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Michigan rates for HCPCS 0003U

Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a likelihood score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $1,445.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $2,238.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,288.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $954.99