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Michigan rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $88.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $28.38 / $28.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $49.67 / $88.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $29.49 / $35.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $31.91