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Michigan rates for HCPCS J2995

Injection Streptokinase Per 250 000 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $90.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $131.25 / $234.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $77.94 / $93.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $96.21