go back

Michigan rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $29.13 / $71.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $13.76 / $49.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.59 / $15.48 / $29.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.41 / $2.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $7.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $22.15 / $71.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $8.35 / $44.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.92 / $8.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $7.38