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Michigan rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

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
$870.96 / $933.25 / $1,148.15
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 / $741.31 / $1,023.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $489.78