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Michigan rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $354.81 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $1,047.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $537.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $186.21 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $316.23