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Michigan rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $199.53 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $72.44 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $199.53 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $128.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $79.43