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Michigan rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $20.12 / $64.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.93 / $6.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.91 / $10.65 / $20.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.38 / $2.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $9.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $16.50 / $64.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.93 / $6.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.76 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.88