go back

Michigan rates for HCPCS J2543

Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $25.65 / $79.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.11 / $1.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.47 / $4.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $6.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $18.97 / $82.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.27 / $1.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.13