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Michigan rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.63 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.62 / $3.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.63 / $4.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.62 / $2.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.62