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Michigan rates for HCPCS 0102U

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (17 genes [sequencing and deletion/duplication])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.75 / $1,238.75 / $1,932.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.16 / $1,238.75 / $1,238.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.39 / $914.39 / $914.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.67 / $914.39 / $1,017.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.22 / $1,986.53 / $2,794.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.26 / $1,238.75 / $2,276.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.26 / $1,196.24 / $1,564.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,117.98