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Michigan rates for HCPCS J1130

Inj diclofenac sodium 0.5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.39 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.27