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Michigan rates for HCPCS 87902

Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $245.47 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $288.40 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $194.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $316.23 / $1,023.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $245.47 / $549.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $524.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $208.93 / $354.81