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Michigan rates for HCPCS J3310

Perphenazine Injeciton

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $18.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $7.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $10.52 / $18.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $7.36 / $8.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.97