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Michigan rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.32 / $3.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.32 / $1.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.92 / $7.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.08 / $2.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.40 / $3.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.40 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.12