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Michigan rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.64 / $2,288.80 / $5,378.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.48 / $2,179.81 / $2,906.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.17 / $4,712.92 / $8,915.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.42 / $2,156.23 / $2,156.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.95 / $2,116.32 / $2,116.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.32 / $3,174.48 / $6,056.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,176.64 / $2,561.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.51 / $2,430.22 / $2,433.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,539.58