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Michigan rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $8.36 / $39.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.53 / $8.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.05 / $1.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $2.79 / $2.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $5.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $7.20 / $29.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.14 / $3.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.55 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.16