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Michigan rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.27 / $415.04 / $1,233.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.27 / $415.04 / $440.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.08 / $857.87 / $1,622.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $691.72 / $1,099.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.27 / $458.27 / $549.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00