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Michigan rates for HCPCS 0093U

Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $69.18 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $75.86 / $95.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $147.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $83.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $39.81