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Michigan rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.41 / $81.48 / $127.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $70.33 / $101.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.23 / $76.23 / $80.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $80.23 / $108.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.75 / $130.61 / $164.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.48 / $81.48 / $149.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $91.49 / $137.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $57.18 / $60.61