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Michigan rates for HCPCS J0744

Injection Ciprofloxacin For Intravenous Infusion 200 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $7.53 / $127.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.98 / $3.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $6.45 / $12.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.10 / $1.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.90 / $2.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $7.17 / $115.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.90 / $3.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.66 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.08