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Michigan rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $18.98 / $56.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.98 / $25.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.79 / $41.06 / $77.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $10.07 / $10.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $18.44 / $23.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $25.32 / $50.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.44 / $22.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $20.98 / $21.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $19.55