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Michigan rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.88 / $11.90 / $3,286.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.88 / $1,747.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $25.69 / $48.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.54 / $11.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $17.30 / $37.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.88 / $15.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.27 / $13.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $12.24