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Michigan rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $36.28 / $97.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $9.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $54.00 / $90.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.82 / $1.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.45 / $0.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.40 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $19.03 / $62.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.37 / $0.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.50 / $0.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.40 / $0.46