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Michigan rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $9.96 / $24.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.82 / $9.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $13.66 / $25.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.25 / $6.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $10.21 / $22.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.32 / $8.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $8.90 / $9.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.51