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Michigan rates for HCPCS J2440

Injection, papaverine HCl, up to 60 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $36.00 / $112.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $38.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.90 / $73.70 / $139.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $20.30 / $20.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $38.25 / $38.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $45.00 / $100.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $39.75 / $47.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $39.78