go back

Michigan rates for HCPCS J0300

Injection Amobarbital Up To 125 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.94 / $175.94 / $548.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.94 / $175.94 / $175.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.46 / $406.15 / $768.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.53 / $185.82 / $185.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $186.93 / $186.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.94 / $219.92 / $489.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.94 / $194.26 / $233.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.26 / $183.26 / $194.42