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Michigan rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $9.28 / $28.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.27 / $10.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $20.05 / $37.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.80 / $7.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $9.01 / $15.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $15.54 / $25.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.27 / $10.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $10.36 / $10.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.56