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Michigan rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $75.53 / $416.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $2.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $22.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.23 / $0.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $51.68 / $262.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.13