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Michigan rates for HCPCS 80363

Opioids and opiate analogs; 3 or 4

Facilitymedian $65 · 10th–90th $16–$760%20%10th90th$65Professionalmedian $16 · 10th–90th $16–$350%50%90th$16$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $35.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $67.61 / $75.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $37.15