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Michigan rates for HCPCS J2358

Olanzapine Long-Acting Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $9.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.00 / $3.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $6.49 / $12.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.97 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.75 / $8.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.00 / $3.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.10