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Michigan rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $11 · 10th–90th $11–$210%20%40%10th90th$11Professionalmedian $10 · 10th–90th $6–$140%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.18 / $16.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $28.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.00 / $16.22
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.33 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.47 / $9.77