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Michigan rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.44 / $250.92 / $486.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $250.92 / $253.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.00 / $542.49 / $1,012.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.79 / $248.20 / $335.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.35 / $158.35 / $158.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $194.52 / $194.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.54 / $238.54 / $243.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.73 / $243.61 / $243.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $280.63 / $696.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $250.44 / $280.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.40 / $200.40 / $235.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.95 / $243.61 / $267.97