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Michigan rates for HCPCS 80402

ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.61 / $82.61 / $128.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $82.61 / $82.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $97.48 / $172.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $65.22 / $88.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $99.95 / $126.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $82.61 / $151.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.34 / $86.56 / $108.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $53.21 / $56.41