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Michigan rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $10.47 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.00 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.78 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $11.75 / $17.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.47 / $6.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.79