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Michigan rates for HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.58 / $1,916.97 / $5,980.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,883.58 / $2,251.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.63 / $4,072.42 / $7,703.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.05 / $1,863.21 / $1,863.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $3,409.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.72 / $3,354.70 / $5,333.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,883.58 / $2,194.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.18 / $2,103.02 / $2,140.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,940.09