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Michigan rates for HCPCS J0945

Injection, brompheniramine maleate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $2.04 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $2.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.04 / $2.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.85 / $1.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.85