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Michigan rates for HCPCS J0380

Injection Metaraminol Bitartrate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.87 / $3.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.17