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Michigan rates for HCPCS 0333U

Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high-risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des-gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.73 / $629.20 / $857.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.73 / $629.20 / $629.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.45 / $464.45 / $464.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.23 / $464.45 / $516.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.01 / $1,938.01 / $2,422.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.28 / $629.20 / $1,010.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.20 / $635.83 / $794.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.17 / $397.39 / $662.32