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Michigan rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $245.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $380.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $213.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $102.33