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Michigan rates for HCPCS J0360

Injection Hydralazine Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $15.60 / $42.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.77 / $6.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $12.46 / $23.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.88 / $1.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $7.67 / $7.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.60 / $5.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $14.86 / $42.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.60 / $6.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.96 / $6.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.94