go back

Michigan rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $27.99 / $107.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $27.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.08 / $25.08 / $25.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $46.07 / $87.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $14.75 / $19.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $27.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $41.98 / $107.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $28.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $22.99 / $32.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $26.05 / $82.89