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Michigan rates for HCPCS 0023U

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $281.84 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $380.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $588.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $338.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $251.19 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $251.19