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Michigan rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $449.60 / $1,402.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.33 / $444.98 / $529.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.05 / $962.08 / $1,819.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.24 / $396.04 / $396.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.43 / $432.02 / $432.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $587.95 / $1,251.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $444.98 / $518.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $562.49