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Michigan rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $8.76 / $27.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $19.39 / $36.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.31 / $9.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $10.95 / $24.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $9.68 / $11.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $11.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $11.62