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Michigan rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.87 / $25.65 / $69.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $22.88 / $22.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $27.24 / $47.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $18.05 / $24.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $24.08 / $65.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $24.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $25.13 / $31.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $23.76 / $69.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $23.76 / $28.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $19.94 / $26.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $16.05