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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
$1,230.27 / $1,230.27 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,995.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $3,090.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $1,778.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $831.76