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Michigan rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.20 / $50.70 / $158.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $50.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $46.85 / $88.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $17.29 / $17.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $53.87 / $53.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.79 / $50.70 / $141.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.79 / $50.16 / $53.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $56.04