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Michigan rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $51.34 / $160.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $59.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.04 / $115.36 / $218.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $52.78 / $52.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $54.55 / $57.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $64.18 / $142.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $59.81 / $71.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $68.78 / $68.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $59.86