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Michigan rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $78.18 / $235.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $76.65 / $88.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.82 / $169.02 / $319.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $77.33 / $77.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.92 / $103.92 / $103.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $75.91 / $75.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $98.47 / $209.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $75.91 / $91.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.13 / $84.38 / $87.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $80.53