go back

Michigan rates for HCPCS 0012M

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score for having urothelial carcinoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,047.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,819.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,023.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $758.58