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Michigan rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $54.47 / $141.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.08 / $54.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $4.50 / $8.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.02 / $6.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $30.87 / $141.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.08 / $2.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.32 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.14