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Michigan rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $8.10 / $28.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $3.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.35 / $0.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $5.34 / $28.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16