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Michigan rates for HCPCS Q0115

Postcoital direct, qualitative examinations of vaginal or cervical mucous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $23.75 / $37.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $23.75 / $23.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $17.53 / $17.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $17.53 / $23.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $25.88 / $32.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $23.75 / $43.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.67 / $30.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.63 / $20.70 / $27.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.93 / $25.00