go back

Michigan rates for HCPCS 80357

Ketamine and norketamine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $19.66 / $92.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $11.80 / $11.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $9.81 / $9.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.81 / $13.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $14.97 / $27.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $14.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $14.30 / $26.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $12.64 / $15.37