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Michigan rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.99 / $115.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $36.61 / $43.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.95 / $79.17 / $149.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $36.22 / $36.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $35.54 / $35.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $46.24 / $102.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $36.61 / $42.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $40.88 / $41.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $37.71