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Michigan rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $21.62 / $60.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $21.62 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $45.77 / $87.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $11.46 / $11.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $20.99 / $20.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $23.28 / $53.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $20.99 / $25.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $23.47 / $24.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.27