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Michigan rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $14.11 / $32.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.80 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $4.01 / $7.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.05 / $1.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.74 / $1.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $8.97 / $36.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.75 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.86