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Michigan rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.21 / $31.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.49 / $6.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.23 / $1.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.55 / $3.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.55 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.45