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Michigan rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $24.68 / $64.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.48 / $9.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $16.35 / $30.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.07 / $3.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $10.07 / $10.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $7.35 / $11.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $23.84 / $73.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.35 / $9.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $7.09 / $8.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.80