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Michigan rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.65 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.65 / $0.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.45 / $2.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.12 / $2.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.71 / $0.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.67