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Michigan rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Facilitymedian $31 · 10th–90th $22–$720%20%10th90th$31Professionalmedian $22 · 10th–90th $17–$360%20%10th90th$22$5.0$10.0$20.0$50.0$100.0$200.0

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
$22.91 / $30.90 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $25.12 / $31.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $72.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $33.11
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.38 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $25.12