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Michigan rates for HCPCS 80200

Drug Screen Quantitative Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $15.32 / $24.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $15.32 / $15.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $18.25 / $32.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $12.10 / $16.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $18.59 / $23.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $15.32 / $28.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $15.32 / $19.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.36 / $18.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.95 / $10.32