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Michigan rates for HCPCS 0174U

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.97 / $1,240.09 / $1,934.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.08 / $1,550.13 / $6,567.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.39 / $915.39 / $915.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.47 / $915.39 / $1,235.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.02 / $1,590.88 / $1,988.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.09 / $1,240.09 / $2,278.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.16 / $1,253.16 / $1,566.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $783.22 / $1,305.36