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Michigan rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $27.82 / $43.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $26.15 / $27.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $33.40 / $58.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.96 / $29.28 / $79.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $19.03 / $29.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $33.86 / $42.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $27.82 / $48.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $29.28 / $35.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $18.73 / $20.69