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Genetic Test For Medication Response

Michigan rates for HCPCS 0030U

A genetic test that looks at inherited differences affecting how a person's body handles or responds to medicines. The findings help the prescriber pick a drug and a dose more likely to work well and less likely to cause side effects.

Facilitymedian $129 · 10th–90th $126$2340%50%10th90th$129Professionalmedian $110 · 10th–90th $81$1580%20%10th90th$110$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$302.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$323.59
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$181.97
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$134.90