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Michigan rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.86 / $36.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.83 / $0.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.90 / $3.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.52 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.83 / $0.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.87 / $2.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.83 / $0.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.81 / $0.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.88