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Michigan rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $18.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.76 / $5.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $10.40 / $18.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $5.60 / $6.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.05