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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
$81.28 / $81.28 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $131.83 / $165.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $229.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $138.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $57.54 / $60.26