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Michigan rates for HCPCS 0313U

Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, negative, low probability of neoplasia or positive, high probability of neoplasia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,420.00 / $3,420.00 / $5,335.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.00 / $3,420.00 / $3,420.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.50 / $2,524.50 / $2,524.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.28 / $2,524.50 / $2,808.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,387.71 / $4,387.71 / $5,484.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,420.00 / $3,420.00 / $6,284.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,420.00 / $3,456.00 / $4,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.00 / $2,160.00 / $3,600.00