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Michigan rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $5.63 / $17.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.63 / $6.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $12.16 / $22.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.56 / $5.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $7.01 / $17.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.55 / $6.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $6.19 / $6.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.08 / $7.30