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Michigan rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $71.52 / $223.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $89.40 / $199.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $78.97 / $94.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $79.04