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Michigan rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.54 / $2.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.92 / $1.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.12