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Michigan rates for HCPCS 0304U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,949.84 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $2,951.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,949.84 / $5,011.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $2,754.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,318.26