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Michigan rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.23 / $535.10 / $1,669.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $524.23 / $628.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.16 / $1,133.42 / $2,144.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.63 / $518.55 / $518.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.56 / $508.96 / $508.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $668.88 / $1,488.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $524.23 / $610.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $539.96